SANTA FE PSYCHOLOGY, LLC (NPI# 1962810150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962810150 |
| Entity Type | Organization |
| Organization Name | SANTA FE PSYCHOLOGY, LLC |
| Practice Address |
2204 Brothers Rd Suite B Santa Fe NM 87505-6975 |
| Practice Telephone | 5057955566 |
| Practice Fax Number | 5059981362 |
| Mailing Telephone | 5057955566 |
| Mailing Fax Number | 5059981362 |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-08-15 |
| Authorized Official Name | BROOKE ROBERTS (OWNER) |
| Authorized Official Telephone | 5057955566 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| Street Address |
2204 BROTHERS RD SUITE B |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-6975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356316814 | Caroline B Williams Phd PC | Psychologist | 2204 Brothers Rd, Ste. B, Santa Fe, NM 87505-6975 | 2006-02-20 |
| 1194170324 | Roxana Raicu, M.d. | Psychoanalyst | 2204 Brothers Rd, Suite B, Santa Fe, NM 87505-6975 | 2016-04-25 |
| 1013191279 | Caroline B Williams | Psychologist | 2204 Brothers Rd, Ste B, Santa Fe, NM 87505-6975 | 2007-12-24 |
| 1013940642 | Gregory Scott Gibson | Counselor | 2204 Brothers Rd, Suite B, Santa Fe, NM 87505-6975 | 2006-07-08 |
| 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 | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639529688 | Deborah Tharinger | Psychologist | 720 Pinon Dr, Santa Fe, NM 87501-1375 | 2016-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528603743 | Child Psychology Center | Psychologist | 3751 N Butler Ave Ste 115, Farmington, NM 87401-6425 | 2019-11-12 |
| 1588019996 | Center Through The Looking Glass | Psychologist | 1395 Missouri Ave, Las Cruces, NM 88001-5327 | 2016-05-04 |
| 1063847598 | Maria Katherine Samaras | Psychologist | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2013-09-03 |
| 1518305101 | Matthew Stevenson | Psychologist | 1 University of New Mexico, Msc09-5030, Albuquerque, NM 87131-0001 | 2013-06-05 |
| 1760770838 | Tom A Chavez | Psychologist | 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2011-07-11 |
| 1609188028 | Hope Krasner | Psychologist | 5345 Wyoming Blvd Ne, Ste. 101, Albuquerque, NM 87109-3148 | 2010-07-14 |
| 1942534201 | William Henry Gardner | Psychologist | 3405 Pan American Fwy Ne, Albuquerque, NM 87107-4786 | 2009-09-18 |
| 1598998544 | Courtney Burnette | Psychologist | 2300 Menaul Blvd Ne, Center for Development and Disability, Albuquerque, NM 87107-1851 | 2009-08-25 |
| 1043421829 | Joy V Browne | Psychologist | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2007-05-24 |
| 1851426159 | Elaine S. Levine | Psychologist | 1395 Missouri Ave, Las Cruces, NM 88001-5327 | 2007-02-23 |
| 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.