MIKAELA FRESQUEZ (NPI# 1316509268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316509268 |
| Entity Type | Individual |
| Full Name | MIKAELA FRESQUEZ |
| Credential | LSAA |
| Practice Address |
146 Quincy St Ne Albuquerque NM 87108-1257 |
| Practice Telephone | 5055501306 |
| Mailing Telephone | 5055501306 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2019-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
NM | Behavioral Health & Social Service Providers |
| Street Address |
146 QUINCY ST NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-1257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417281890 | Dominic John Cagliostro | Counselor | 146 Quincy St Ne, Albuquerque, NM 87108 | 2009-10-01 |
| 1033740584 | Whitney A Casas | Counselor | 146 Quincy St Ne, Albuquerque, NM 87108-1257 | 2020-02-03 |
| 1912550294 | Valarie R Gonzales | Counselor | 146 Quincy St Ne, Albuquerque, NM 87108-1257 | 2019-07-16 |
| 1689236226 | Sherii Miera | Counselor | 146 Quincy St Ne, Albuquerque, NM 87108-1257 | 2019-07-03 |
| 1285198457 | Angela Shepard | Social Worker | 146 Quincy St Ne, Albuquerque, NM 87108-1257 | 2019-01-22 |
| 1427522036 | Leslie Jae Dennis | Social Worker | 146 Quincy St Ne, Albuquerque, NM 87108-1257 | 2019-01-16 |
| 1609340223 | Nicole Mishoe | Social Worker | 146 Quincy St Ne, Albuquerque, NM 87108-1257 | 2019-01-16 |
| 1104308949 | Hayley Taylor | Social Worker | 146 Quincy St Ne, Albuquerque, NM 87108 | 2018-08-29 |
| 1407308745 | Adele Regina Somma | Counselor | 146 Quincy St Ne, Albuquerque, NM 87108 | 2016-11-03 |
| 1720486772 | Perfectly Imperfect | Counselor | 146 Quincy St Ne, Albuquerque, NM 87108 | 2014-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366056 | Katherine Imislund-clark, Lpcc | Psychologist | 122 Girard Blvd Se Apt B, Albuquerque, NM 87106-2286 | 2020-11-02 |
| 1952901647 | Debra Ann Carter Lpcc LLC | Psychologist | 3321b Candelaria Rd Ne Ste 402, Albuquerque, NM 87107-1908 | 2020-10-30 |
| 1831710490 | Zia Community Cares, LLC | Psychologist | 5400 Gibson Blvd, Building 11, Albuquerque, NM 87108-8710 | 2020-05-05 |
| 1528450061 | Giving Tree Counseling, LLC | Psychologist | 8901 San Diego Ave Ne, Albuquerque, NM 87122-3636 | 2015-02-20 |
| 1780719237 | Richard P Reed | Psychologist | 8500 Menaul Blvd Ne, Suite A-330, Albuquerque, NM 87112-1273 | 2007-02-23 |
| 1912055096 | Carolina Ellen Yahne | Psychologist | 441 Solano Dr Ne, Albuquerque, NM 87108-1045 | 2007-01-08 |
| 1699838656 | Daniel J. Gallegos, Jr. | Psychologist | 1523 Columbia Dr Ne, Albuquerque, NM 87106-2634 | 2006-12-19 |
| 1104990845 | Michele Coleman | Psychologist | 1025 Hermosa Dr Se, Albuquerque, NM 87108-4312 | 2006-11-17 |
| 1417963646 | Celeste Frank | Psychologist | 3044 Ole Ct Ne, Albuquerque, NM 87111-5624 | 2006-07-31 |
| 1891700647 | Kathleen Ann Clapp | Psychologist | 10211 Montgomery Blvd Ne, Suite 7, Albuquerque, NM 87111-3608 | 2006-07-30 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
Please comment or provide details below to improve the information on MIKAELA FRESQUEZ.
| 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.