ROBERT ANTHONY MACE SERRATORE (NPI# 1164506077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164506077 |
| Entity Type | Individual |
| Full Name | ROBERT ANTHONY MACE SERRATORE |
| Other Name | ROBERTO SERRATORE JR. |
| Credential | LMHC MA |
| Practice Address |
40 Hob Rd Los Lunas NM 87031-7601 |
| Mailing Address |
10801 Maness Ln Sw Albuquerque NM 87121-3661 |
| Practice Telephone | 5058653092 |
| Practice Fax Number | 5058657721 |
| Mailing Telephone | 5756932345 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2009-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
40 HOB RD |
| City | LOS LUNAS |
| State | NM |
| Zip Code | 87031-7601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144865650 | Arthur Ray Jaramillo | Community Health Worker | 40 Hob Rd, Los Lunas, NM 87031-7601 | 2019-11-08 |
| 1316582810 | Michaela Wood | Community Health Worker | 40 Hob Rd, Los Lunas, NM 87031-7601 | 2019-11-08 |
| 1992340400 | Joshua James Callan | Community Health Worker | 40 Hob Rd, Los Lunas, NM 87031-7601 | 2019-11-08 |
| 1477198976 | Christopher Leo Rael | Community Health Worker | 40 Hob Rd, Los Lunas, NM 87031-7601 | 2019-11-08 |
| 1316582844 | Ernesto Valdez | Community Health Worker | 40 Hob Rd, Los Lunas, NM 87031-7601 | 2019-11-07 |
| 1760026942 | Youth Health Associates, Inc. | Community Based Residential Treatment Facility, Mental Illness | 40 Hob Rd, Los Lunas, NM 87031-7601 | 2019-10-31 |
| 1760797666 | Beverly Ann Woodbury | Social Worker | 40 Hob Rd, Los Lunas, NM 87031-7601 | 2010-08-16 |
| 1679802300 | Robert Hodges | Counselor | 40 Hob Rd, Los Lunas, NM 87031-7601 | 2009-12-08 |
| 1992853469 | Yvonne E. Garley-alvarez | Social Worker | 40 Hob Rd, Los Lunas, NM 87031-7601 | 2007-01-08 |
| 1487729943 | Paulette Marie Kaskinen | Counselor | 40 Hob Rd, Los Lunas, NM 87031-7601 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407466212 | Juanita Arcelia Flores-hull | Registered Nurse | 19670 Highway 314, Belen, NM 87031 | 2020-08-06 |
| 1184267171 | Nicole Andrea Bassett | Registered Nurse | 236 Don Pasqual Rd, Los Lunas, NM 87031 | 2019-10-22 |
| 1922649359 | Darrel Thompson | Physical Therapist | 2211 Main St, Ne, Los Lunas, NM 87031 | 2019-10-07 |
| 1407415235 | Brittany Leigh Dow | Family Medicine | 328 Main St Sw, Los Lunas, NM 87031 | 2019-06-05 |
| 1942764162 | Christine Beevers | Occupational Therapy Assistant | 310 Bonita Vista Blvd, Los Lunas, NM 87031 | 2019-01-23 |
| 1669953105 | Patricia A Ziehl | Occupational Therapy Assistant | 119 Luna Ave., Los Lunas, NM 87031 | 2018-08-23 |
| 1922500776 | Mellisa Marie Everett | Massage Therapist | 3414 Nm- 47, Los Lunas, NM 87031 | 2018-03-07 |
| 1831699917 | Nachelle Lynn Pell | Registered Nurse | 310 Bonita Vista, Los Lunas, NM 87031 | 2018-02-15 |
| 1053829135 | Valencia Denise Jackson | Registered Nurse | 46 Chacon Rd., Los Lunas, NM 87031 | 2018-01-11 |
| 1548777972 | Aja Santana Armijo | Speech-Language Pathologist | 46 Chacon Blvd., Los Lunas, NM 87031 | 2018-01-08 |
| Find all providers in zip 87031 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222507 | Teddie Chambers-ruiz | Counselor | 536 Los Lentes Rd Se, Los Lunas, NM 87031-7052 | 2020-10-16 |
| 1710461975 | Jennie Dunnell | Counselor | 1941 Camino Rincon Sw, Los Lunas, NM 87031-8842 | 2018-09-23 |
| 1104328764 | Jason Brent Struthers | Counselor | 721 Purple Aster Ave Sw, Los Lunas, NM 87031-4874 | 2018-02-28 |
| 1154848109 | Agnes Garley | Counselor | 19 Salida Del Sol, Los Lunas, NM 87031-8807 | 2017-08-29 |
| 1053838375 | Journey To Wellness Counseling Los Lunas, LLC | Counselor | 351 Courthouse Rd Se, Los Lunas, NM 87031-9212 | 2017-08-28 |
| 1801338330 | Arturo Fierro | Counselor | 62 Avenida Valencia Rd, Los Lunas, NM 87031-6328 | 2016-11-15 |
| 1154704856 | Luanne C Templeton | Counselor | 119 Teles St Sw, Los Lunas, NM 87031-8518 | 2015-06-30 |
| 1558751537 | Travis Thoms | Counselor | 526 Sun Rnch Vlg Loop, Los Lunas, NM 87031-4869 | 2015-01-29 |
| 1003249871 | Yasna C Provine | Counselor | 23 Margarita Cir, Los Lunas, NM 87031-5916 | 2013-08-15 |
| 1578835179 | Sandra Lee Chavez | Counselor | 428 Los Lentes, S.e., Los Lunas, NM 87031 | 2012-01-30 |
| Find all providers in LOS LUNAS | ||||
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| 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.