DOMINIC JOHN CAGLIOSTRO (NPI# 1417281890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417281890 |
| Entity Type | Individual |
| Full Name | DOMINIC JOHN CAGLIOSTRO |
| Credential | LSAA |
| Practice Address |
146 Quincy St Ne Albuquerque NM 87108 |
| Mailing Address |
600 1st St Nw Ste 200 Albuquerque NM 87102-2311 |
| Practice Telephone | 5052249124 |
| Practice Fax Number | 5052479503 |
| Mailing Telephone | 5052249124 |
| Mailing Fax Number | 5052479503 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2018-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
C-09928 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 19983085 | 05 |
| Street Address |
146 QUINCY ST NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1316509268 | Mikaela Fresquez | Psychologist | 146 Quincy St Ne, Albuquerque, NM 87108-1257 | 2019-07-01 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395368 | Roadrunner Recovery Services LLC | Counselor | 505 13th St Sw Apt A, Albuquerque, NM 87102-2873 | 2020-04-22 |
| 1104465152 | Laura Aubert | Counselor | 1108 Vassar Dr Se, Albuquerque, NM 87106-2959 | 2019-12-21 |
| 1245719665 | Ashley Tapia | Counselor | 125 Candelaria Rd Nw, Albuquerque, NM 87107-2210 | 2018-08-07 |
| 1194226415 | Aurora R Cata | Counselor | 1528 5 Pts Rd Sw, Albuquerque, NM 87105-3179 | 2018-02-22 |
| 1689198582 | Margaret Ann Garberina | Counselor | 4031 Mackland Ave Ne, Albuquerque, NM 87110-7711 | 2017-08-01 |
| 1699229559 | Louise Blazquez | Counselor | 8000 Roma Ave Ne, Albuquerque, NM 87108-2334 | 2016-08-09 |
| 1861848632 | Recovery Services of New Mexico, LLC | Counselor | 1711 Isleta Blvd Sw, Albuquerque, NM 87105-4635 | 2016-05-10 |
| 1578927711 | Clarence Mills | Counselor | 1528 Five Points Rd Nw, Albuquerque, NM 87105 | 2016-04-13 |
| 1285095257 | Robert Barnes | Counselor | 8613 Democracy Rd Ne, Albuquerque, NM 87109-5181 | 2016-03-17 |
| 1366809089 | Elizabeth Hawkins | Counselor | 7005 Avenida La Costa Ne, Albuquerque, NM 87109-3927 | 2016-01-26 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
Please comment or provide details below to improve the information on DOMINIC JOHN CAGLIOSTRO.
| 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.