MR. ROBERT H FERNANDO (NPI# 1891906517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891906517 |
| Entity Type | Individual |
| Full Name | MR. ROBERT H FERNANDO |
| Credential | LADAC |
| Practice Address |
Manulito Street Building T006-013 Behavioral Health Services Tohatchi NM 87325 |
| Mailing Address |
Po Box 609 Tohatchi NM 87325-0609 |
| Practice Telephone | 5057332825 |
| Practice Fax Number | 5057332829 |
| Mailing Telephone | 5057332825 |
| Mailing Fax Number | 5057332829 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |
| 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) |
3524 | NM | Behavioral Health & Social Service Providers |
| Street Address |
MANULITO STREET BUILDING T006-013 BEHAVIORAL HEALTH SERVICES |
| City | TOHATCHI |
| State | NM |
| Zip Code | 87325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336780535 | Marnell Joy Becenti | Technician | N. Hwy 491 Mile Marker 23 .05 Miles West, Tohatchi, NM 87325 | 2019-09-30 |
| 1639725732 | John Jerome Fagel | Dentist | 07 Choos Gai Dr, Tohatchi, NM 87325 | 2019-08-14 |
| 1962916866 | Lenora J Woody | Registered Nurse | 7 Chooshgai Drive, Po Box 142, Tohatchi, NM 87325 | 2017-11-30 |
| 1518117266 | Eva M. Benally | Dental Assistant | 07 Choosgai Dr., Tohatchi, NM 87325 | 2008-09-30 |
| 1184874836 | Carol T. Halona | Dental Assistant | 00 Choosgai Drive, Tohatchi, NM 87325 | 2008-09-30 |
| 1447400197 | Glorianne Natonabah | Dental Assistant | 07 Chooshgai Drive, Tohatchi, NM 87325 | 2008-09-30 |
| 1871787903 | Pamela Smiley | Registered Nurse | 07 Choosghi Drive, Tohatchi, NM 87325 | 2007-08-31 |
| 1316052004 | Carrie Arviso | Pharmacist | 07 Choosgai, Tohatchi Health Clinic, Tohatchi, NM 87325 | 2006-08-20 |
| 1316051857 | William I Schuman | Pharmacist | 07 Choosgai Drive, Tohatchi, NM 87325 | 2006-08-19 |
| 1003881665 | Nilanthi Soori | Family Medicine | 007 Choosgai Drive, Tohatchi, NM 87325 | 2006-02-17 |
| Find all providers in zip 87325 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033391354 | Department of Behavioral Health Services | Counselor | Manuelito Drive, Building T006-013, Tohatchi, NM 87325-0609 | 2007-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260964 | New Mexico Guided Healing, LLC | Counselor | 4061 Ridge Rock Rd Se Ste C, Rio Rancho, NM 87124-7627 | 2020-09-19 |
| 1366068025 | Benjamin Fields | Counselor | 1208 Paseo Del Pueblo Norte, El Prado, NM 87529-8752 | 2020-06-18 |
| 1699395368 | Roadrunner Recovery Services LLC | Counselor | 505 13th St Sw Apt A, Albuquerque, NM 87102-2873 | 2020-04-22 |
| 1558980763 | Jason L Ferrell | Counselor | 195 Juniper Rd, Ruidoso, NM 88345-6636 | 2020-04-09 |
| 1104453836 | Tiffany Shell Flippen | Counselor | 1016 E. Roosevelt Ave., Grants, NM 87020 | 2020-03-24 |
| 1245865468 | Bonnie Marie Catanach | Counselor | 3136 Jemez Rd, Santa Fe, NM 87507-8004 | 2020-03-09 |
| 1710519731 | Brenda Sue Burgard | Counselor | 1424 Deborah Rd Se Ste 205, Rio Rancho, NM 87124-6619 | 2020-02-07 |
| 1780216101 | Ross Jenkins | Counselor | 579 White Swan Road, Ohkay Owingeh, NM 87566 | 2020-02-05 |
| 1033740469 | Rhianna Alexandra Feeney | Counselor | County Rd 49 Pvt Dr 1098, Velarde, NM 87582-1596 | 2020-02-04 |
| 1104465152 | Laura Aubert | Counselor | 1108 Vassar Dr Se, Albuquerque, NM 87106-2959 | 2019-12-21 |
| Find all providers with the same taxonomy | ||||
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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.