AMY JELLIFFE (NPI# 1417946609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417946609 |
| Entity Type | Individual |
| Full Name | AMY JELLIFFE |
| Credential | MD |
| Practice Address |
454 Saint Michaels Dr Ste 200 Santa Fe NM 87505-7602 |
| Mailing Address |
2187 N Vickey St Flagstaff AZ 86004-6106 |
| Practice Telephone | 5053035000 |
| Mailing Telephone | 9287146409 |
| Mailing Fax Number | 9287146480 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2019-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
94-71 | NM | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25271 | AZ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2187 N Vickey St, Flagstaff, AZ 860046106 | 9287146409 | 9287146480 |
| Street Address |
454 SAINT MICHAELS DR STE 200 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-7602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265962195 | Elizabeth Koffler | Family Medicine | 454 Saint Michaels Dr Ste 200, Santa Fe, NM 87505-7602 | 2017-06-13 |
| 1851310270 | Stuart Mark Hochron | Internal Medicine | 454 Saint Michaels Dr Ste 200, Santa Fe, NM 87505-7602 | 2006-07-18 |
| 1912944661 | Derek B Johnson | Surgery | 454 Saint Michaels Dr Ste 200, Santa Fe, NM 87505 | 2006-06-01 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386283869 | New Age Behavioral Health, LLC | Psychiatry & Neurology | 3600 Rodeo Ln Ste 5, Santa Fe, NM 87507-6400 | 2019-12-31 |
| 1255991428 | Robert Charles Larsen | Psychiatry & Neurology | 7 Paintbrush Cir, Santa Fe, NM 87506-9539 | 2019-06-19 |
| 1053574863 | Robert Hillman | Psychiatry & Neurology | 2914 Rufina Ct, Santa Fe, NM 87507-2918 | 2008-07-02 |
| 1205028321 | Russell Glen Brown | Psychiatry & Neurology | 35 Camino De Milagro, Santa Fe, NM 87506-0050 | 2007-08-13 |
| 1407053200 | Dell Braunsdorf | Psychiatry & Neurology | 11220 28th St, Santa Fe, TX 77510-7987 | 2007-06-27 |
| 1306067681 | Carola Kieve | Psychiatry & Neurology | 1600 Lena St, Bldg C # 16, Santa Fe, NM 87505-3891 | 2007-05-02 |
| 1972628618 | Marilyn L Matthews | Psychiatry & Neurology | 546 Harkle Road, Suite B, Santa Fe, NM 87505-4784 | 2007-03-20 |
| 1215071766 | Jeffrey M Ross | Psychiatry & Neurology | 1670 Cerro Gordo Rd, Santa Fe, NM 87501-6175 | 2007-02-17 |
| 1669523502 | Jefferson K Davis | Psychiatry & Neurology | 300 Galisteo St, Ste 201, Santa Fe, NM 87501-2607 | 2007-01-16 |
| 1235297235 | Daniel Allen Collins | Psychiatry & Neurology | 369 Montezuma Avenue, #446, Santa Fe, NM 87501-2626 | 2006-12-04 |
| Find all providers in SANTA FE | ||||
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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.