DR. CHRISTOPHER CLANCY (NPI# 1669402103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669402103 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER CLANCY |
| Credential | M.D. |
| Practice Address |
2504 Camino Entrada Santa Fe NM 87507-4851 |
| Mailing Address |
2551 Coors Blvd Nw Albuquerque NM 87120-1213 |
| Practice Telephone | 5054715009 |
| Mailing Telephone | 5053383320 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2015-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD2005-0845 | NM | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
M-11479 | ID | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
60245661 | NY | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
60245661 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 40757323 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427214790 | Christopher Lee Clancy | Surgery | 1003 Bellefontaine Ave Ste 200, Lima, OH 45804-1803 | 2008-08-05 |
| 1659442325 | Christopher Kevin Clancy | Dentist | 299 Lincoln St, Suite 204, Worcester, MA 01605-3609 | 2006-11-13 |
| Street Address |
2504 CAMINO ENTRADA |
| City | SANTA FE |
| State | NM |
| Zip Code | 87507-4851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420696 | Heidi Mae Gall | Counselor | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2020-09-01 |
| 1538779897 | Sun Wiltse Vega | Case Manager/Care Coordinator | 2504 Camino Entrada, Santa Fe, NM 87507 | 2020-08-03 |
| 1740808518 | Bernadette D Mares | Social Worker | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2020-07-08 |
| 1982248662 | Teambuilders Behavioral Health, Inc. | Counselor | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-11-05 |
| 1790329472 | Teambuilders Behavioral Health, LLC | Counselor | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-11-05 |
| 1770126468 | Blake Ann Kish, Bms | Behavioral Analyst | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-10-24 |
| 1033752324 | Misper Etando | Nurse Practitioner | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-10-20 |
| 1851949739 | Briahna Easton | Behavioral Analyst | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-09-03 |
| 1689222093 | Lori Diane Shepard | Social Worker | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-08-28 |
| 1922660240 | Cecelia Romero | Case Manager/Care Coordinator | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2019-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316390 | Cynthia Lois Meyers | Pharmacy | 2709 Cerrillos Road, Santa Fe, NM 87507 | 2020-11-03 |
| 1578160685 | Nancy Benigsohn | Counselor | 4001 Office Courte., Suite 603, Santa Fe, NM 87507 | 2020-10-02 |
| 1730684853 | Presbyterian Healthcare Services | General Acute Care Hospital | 4801 Beckner Road, Santa Fe, NM 87507 | 2018-03-29 |
| 1033623780 | Averie Montgomery-diener | Physical Therapy Assistant | 2538 Camino Entrad Suite 300, Santa Fe, NM 87507 | 2017-11-16 |
| 1013426790 | Deja Nicole Mendez | Behavior Technician | 2213 Paseo De Tercero, Santa Fe, NM 87507 | 2017-09-25 |
| 1548787633 | Lauren Sherwood | Behavior Technician | 4129 S Meadows Rd, Apt #1023, Santa Fe, NM 87507 | 2017-08-29 |
| 1972032563 | Alyssa Butler | Counselor | 1409 Zepol Rd Apt 110, Santa Fe, NM 87507 | 2017-06-07 |
| 1093253221 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 4326 Airport Road, Unit F, Santa Fe, NM 87507 | 2017-02-08 |
| 1891233128 | Daniel & Max, LLC | Optometrist | 4079 Cerillos Road, Santa Fe, NM 87507 | 2017-02-07 |
| 1508225749 | Youth Shelters and Family Services | Counselor | 5686 B Agua Fria Street, Santa Fe, NM 87507 | 2016-02-16 |
| Find all providers in zip 87507 | ||||
| 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.