NAMBE PUEBLO (NPI# 1073110920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073110920 |
| Entity Type | Organization |
| Organization Name | NAMBE PUEBLO |
| Practice Address |
16a Tayeh Huu U Pueblo of Nambe NM 87506 |
| Mailing Address |
4001 Office Court Dr Ste 701 Santa Fe NM 87507-4905 |
| Practice Telephone | 5054555591 |
| Mailing Telephone | 5056605673 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | MR. BRIAN SERNA (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 5056605673 |
| Authorized Official Credential | LPCC LADAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Tewa Roots Society | Other Name - Individual/Organization |
| Street Address |
16A TAYEH HUU U |
| City | PUEBLO OF NAMBE |
| State | NM |
| Zip Code | 87506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811543655 | Waltor Surgical Assisting | Specialist/Technologist, Other | 708 Luna Vista, Santa Fe, NM 87506 | 2019-08-16 |
| 1518447762 | Rosario Cismowski Escobedo | Behavior Technician | 17709a Hwy 84/285, Santa Fe, NM 87506 | 2018-08-17 |
| 1417440777 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1797b St. Rd 502, Santa Fe, NM 87506 | 2018-06-12 |
| 1992297915 | Carnell D Horn II | Behavior Technician | 44 Paseo Encantado Sw, Santa Fe, NM 87506 | 2018-06-05 |
| 1689101594 | James M Mccaffery | Ophthalmology | 45 Violet Circle, Santa Fe, NM 87506 | 2017-05-23 |
| 1225404437 | Tiffany Wynn | Counselor | 1524 Bishops Lodge Rd, #b, Tesuque, NM 87506 | 2015-08-12 |
| 1912119298 | St Vincent Hospital | General Acute Care Hospital | 5 Petroglyph Circle, Suite A, Pojoaque, NM 87506 | 2007-05-07 |
| 1881733574 | Kathleen Ohringer Paster | Social Worker | 53 Heartstone Drive, Santa Fe, NM 87506 | 2007-02-06 |
| 1831269448 | Roberta R Goodman | Counselor | 187 Tesuque Village Rd, Tesuque, NM 87506 | 2006-11-09 |
| 1598841769 | Jude Pardee | Psychologist | 217 Camino Del Rincon, Santa Fe, NM 87506 | 2006-10-31 |
| Find all providers in zip 87506 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547904 | Pawsitively Transformational Health and Wellness Inc | Clinic/Center | 715 Dooley St, Alamogordo, NM 88310-8203 | 2020-11-01 |
| 1245846708 | Integrated Energies LLC | Clinic/Center | 3000 Trinity Dr Apt 59, Los Alamos, NM 87544-2340 | 2020-09-21 |
| 1053922104 | Indigo Psychotherapy, LLC | Clinic/Center | 6701 Kiowa Ave Ne, Albuquerque, NM 87110-2144 | 2020-08-12 |
| 1548878200 | Lenore Engelhardt Inc | Clinic/Center | 205 Horton Ln Nw, Albuquerque, NM 87114-1052 | 2020-07-20 |
| 1013531037 | Behavioral Healthcare Services, Inc. | Clinic/Center | 227b Hwy 314 Nw, Los Lunas, NM 87031-8476 | 2020-06-05 |
| 1538783568 | Behavioral Healthcare Services, Inc. | Clinic/Center | 2052 Galisteo St, Santa Fe, NM 87505-2100 | 2020-06-05 |
| 1003446790 | Drgmed, Inc. | Clinic/Center | 210 Crestwood Ct, Gallup, NM 87301-7120 | 2020-01-22 |
| 1871137042 | State of The Heart Recovery | Clinic/Center | 203 California St Ne, Albuquerque, NM 87108-1802 | 2019-10-31 |
| 1659926913 | Deep Roots Counseling, LLC | Clinic/Center | 210 Truman St Ne, Albuquerque, NM 87108-1333 | 2019-08-05 |
| 1841850526 | New Horizons Counseling Center LLC | Clinic/Center | 900 Marshall St, Truth Or Consequences, NM 87901-6600 | 2019-06-16 |
| Find all providers with the same taxonomy | ||||
| City | PUEBLO OF NAMBE |
| Zip Code | 87506 |
Please comment or provide details below to improve the information on NAMBE PUEBLO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.