UNM-PC (NPI# 1366814667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366814667 |
| Entity Type | Organization |
| Organization Name | UNM-PC |
| Other Organization Name | UNIVERSITY OF NM HOSPITALS PSYCHIATRIC CENTER |
| Practice Address |
2600 Marble Ave Ne Albuquerque NM 87106-2058 |
| Practice Telephone | 5052720271 |
| Practice Fax Number | 5052724563 |
| Mailing Telephone | 5052720271 |
| Mailing Fax Number | 5052724623 |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2015-10-26 |
| Authorized Official Name | MRS. ANNETTE J. LICHT (REGISTERED NURSE) |
| Authorized Official Telephone | 5052720271 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
261QM0850X | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | MEDICARE | 32-S001 | 01 |
| NM | 00067 | 05 |
| Other Name | Type Code |
|---|---|
| University of NM hospitals Psychiatric Center | Doing Business As Name - Organization |
| Street Address |
2600 MARBLE AVE NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-2058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114916566 | Patricia Mari Hennessey | Counselor | 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 | 2005-10-18 |
| 1023623733 | Joshua Brian Matta | Registered Nurse | 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 | 2020-09-09 |
| 1073122529 | Tammy Ann Reeves | Family Medicine | 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 | 2020-07-29 |
| 1922623990 | Valerie Bustos | Registered Nurse | 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 | 2020-06-15 |
| 1356964266 | Molly Whitt | Student in an Organized Health Care Education/Training Program | 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 | 2020-05-27 |
| 1760001317 | Katherine M Stoll | Social Worker | 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 | 2020-04-14 |
| 1154969111 | Dustin Deon Truitt | Counselor | 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 | 2019-12-20 |
| 1750929568 | Monica Talavera | Peer Specialist | 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 | 2019-12-12 |
| 1013554864 | Christina L Weeks | Case Manager/Care Coordinator | 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 | 2019-11-27 |
| 1861038432 | Heidi Ann Snyder I | Registered Nurse | 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 | 2019-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447873757 | Healing Pathways Psychotherapy | Clinic/Center | 315 Alameda Blvd Ne, Albuquerque, NM 87113-1569 | 2020-05-20 |
| 1184246902 | Avenidas Nuevas Counseling LLC | Clinic/Center | 324 Cornell Dr Se, Albuquerque, NM 87106-5513 | 2020-05-14 |
| 1437783529 | Telemental Health Link LLC | Clinic/Center | Telemental Health Link LLC, 5700 Harper Dr Ne, #27, Albuquerque, NM 87109-3573 | 2020-02-27 |
| 1255963898 | New Haven Behavioral Health Services LLC | Clinic/Center | 2900 Louisiana Blvd Ne Ste C1, Albuquerque, NM 87110-3576 | 2020-02-11 |
| 1730736505 | Bonni Amsden LLC | Clinic/Center | 200 Rosemont Ave Ne Suite C, Albuquerque, NM 87102-6171 | 2019-08-26 |
| 1124591490 | New Growth Counseling LLC | Clinic/Center | 2901 Juan Tabo Blvd Ne Ste 101c, Albuquerque, NM 87112-1886 | 2019-01-09 |
| 1902340607 | A New Path Counseling | Clinic/Center | 10417 San Jacinto Ave Ne, Albuquerque, NM 87112-5341 | 2016-12-14 |
| 1598000721 | Neuromental Health Services, Inc | Clinic/Center | 711 Encino Pl Ne Ste F, Albuquerque, NM 87102-2649 | 2012-11-28 |
| 1740428879 | Cynthia Sontag, Lisw, PC | Clinic/Center | 1300 Lomas Blvd Nw, Albuquerque, NM 87104-1234 | 2009-01-28 |
| 1477193118 | Blue Mesa Psychiatry and Counseling LLC | Clinic/Center | 7007 Wyoming Blvd Ne Ste F1, Albuquerque, NM 87109-3983 | 2020-01-10 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on UNM-PC.
| 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.