RECOVERY PHYSICIAN GROUP OF CALIFORNIA, LLC (NPI# 1265698880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265698880 |
| Entity Type | Organization |
| Organization Name | RECOVERY PHYSICIAN GROUP OF CALIFORNIA, LLC |
| Practice Address |
551 W Cordova Rd Ste 818 Santa Fe NM 87505-1825 |
| Mailing Address |
Po Box 2323 Brentwood TN 37024-2323 |
| Practice Telephone | 9545877771 |
| Mailing Telephone | 9545877771 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-11 |
| Authorized Official Name | YVONNE BELL (TEAM LEADER) |
| Authorized Official Telephone | 9545877771 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
551 W CORDOVA RD STE 818 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-1825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326420951 | Juan Mendoza | Psychologist | 715 E. Idaho, Las Cruces, NM 88007 | 2015-06-19 |
| 1720201759 | Stephen J Schoen | Psychologist | 1879 El Segundo Trl, Las Cruces, NM 88011-4033 | 2007-04-10 |
| 1043378771 | Nancy Handmaker | Psychologist | 3949 Corrales Road, Suite 240, Corrales, NM 87048 | 2006-12-05 |
| 1881207496 | Kevin Ryan Puckett I | Psychologist | 1528 Five Points Rd Sw, Albuquerque, NM 87105-3179 | 2020-08-25 |
| 1518485812 | Windsong Counseling & Consultation, LLC | Psychologist | 9426 Indian School Rd Ne Ste 1, Albuquerque, NM 87112-2887 | 2017-09-07 |
| 1558762245 | Sage Addiction Treatment Services | Psychologist | 2929 Coors Blvd Nw Ste 100d, Albuquerque, NM 87120-1272 | 2014-09-12 |
| 1588003123 | Maria Inez Bagwell | Psychologist | 100 W. Griggs Ave, Las Cruces, NM 88001 | 2013-06-17 |
| 1740553593 | Amanda R Martinez | Psychologist | 1615 Ojo Court, Farmington, NM 87401 | 2012-02-09 |
| 1437346566 | Thomas Paul Dominguez | Psychologist | 625 Truman St Ne, Albuquerque, NM 87110-6443 | 2007-10-02 |
| 1578632741 | Anne Rose | Psychologist | 11005 Spain Rd Ne, Albuquerque, NM 87111-1899 | 2006-11-06 |
| Find all providers with the same taxonomy | ||||
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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.