EL PASO METHADONE MAINTENANCE & DETOX TREATMENT CENTER (NPI# 1649491598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649491598 |
| Entity Type | Organization |
| Organization Name | EL PASO METHADONE MAINTENANCE & DETOX TREATMENT CENTER |
| Practice Address |
5004 Alameda Avenue El Paso TX 79905 |
| Practice Telephone | 9157726555 |
| Practice Fax Number | 9157727275 |
| Mailing Telephone | 9157726555 |
| Mailing Fax Number | 9157727275 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAMES SABAL (DIRECTOR) |
| Authorized Official Telephone | 9157726555 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
D0411 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | OTP NUMBER | TX10070M | 01 |
| Street Address |
5004 ALAMEDA AVENUE |
| City | EL PASO |
| State | TX |
| Zip Code | 79905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909600 | Maria Ethel Aguirre Flores | Student in an Organized Health Care Education/Training Program | 4801 Alberta Av., El Paso, TX 79905 | 2020-07-17 |
| 1720549975 | Jo-anna Palma | Student in an Organized Health Care Education/Training Program | 517 Firstwood Place, El Paso, TX 79905 | 2019-03-29 |
| 1255840500 | Americas Medical Billing Firm LLC | Spec/Tech, Health Info | 6090 Surety Dr Ste 105, El Paso, TX 79905 | 2017-09-28 |
| 1720500184 | Zip Zap It Solutions, LLC | Contractor | 6044 Gateway East Suite 429, El Paso, TX 79905 | 2017-07-07 |
| 1053854307 | Tanya Louise Alvarez | Nurse Practitioner | 4845 Alameda, El Paso Children's Hospital, El Paso, TX 79905 | 2016-11-18 |
| 1396102778 | Vanessa Velez | Nurse Practitioner | 4845 Alameda Avenue, El Paso, TX 79905 | 2016-01-15 |
| 1467823849 | Kristin Marie Giroux | Registered Nurse | 4800 Alberta Ave # Msc41013, El Paso, TX 79905 | 2015-10-12 |
| 1710353255 | Estela Santos | Social Worker | 3812 Pera Avenue, El Paso, TX 79905 | 2015-08-19 |
| 1649652223 | Martina Torres | Counselor | 7722 North Loop, El Paso, TX 79905 | 2015-06-19 |
| 1710388681 | Charles R De Jesus Morales | Radiology | 5001 El Paso Drive Csb-a02, Ttuhsc Radiology Dpt., El Paso, TX 79905 | 2014-09-10 |
| Find all providers in zip 79905 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220273 | Shela M Carter Counseling Services LLC | Counselor | 7833 Corozal Dr, El Paso, TX 79915-2125 | 2020-06-22 |
| 1518430677 | Gessy Martinez | Counselor | 5959 Gateway Blvd W Ste 324, El Paso, TX 79925-3317 | 2019-01-10 |
| 1710472816 | Positive Innovations, LLC | Counselor | 6090 Surety Dr Ste 107, El Paso, TX 79905-2060 | 2018-06-30 |
| 1235665910 | Gary Jon Menchey | Counselor | 4521 Cupid Dr, El Paso, TX 79924-1723 | 2017-05-02 |
| 1487180162 | Julian Correa | Counselor | 1643 Phil Gibbs Dr, El Paso, TX 79936-5721 | 2017-05-02 |
| 1740716463 | Maria D Valencia | Counselor | 1600 Montana Ave Fl 3, El Paso, TX 79902-5622 | 2017-05-02 |
| 1043754658 | Martha Brown | Counselor | 6044 Gateway Blvd E Ste 232, El Paso, TX 79905-2042 | 2016-12-15 |
| 1275982415 | James Blanco I | Counselor | 6000 Welch #15, El Paso, TX 79903 | 2016-06-08 |
| 1992178016 | Andres Arvizu | Counselor | 2400 Trawood Dr Ste 301, El Paso, TX 79936-4122 | 2015-11-11 |
| 1851763296 | Shela Marie Carter | Counselor | 7833 Corozal Dr., El Paso, TX 79915 | 2015-10-26 |
| Find all providers in EL PASO | ||||
Please comment or provide details below to improve the information on EL PASO METHADONE MAINTENANCE & DETOX TREATMENT CENTER.
| 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.