NAVAJO DEPT. OF BEHAVIORAL HEALTH SERVICES (NPI# 1982145785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982145785 |
| Entity Type | Organization |
| Organization Name | NAVAJO DEPT. OF BEHAVIORAL HEALTH SERVICES |
| Other Organization Name | NAVAJO REGIONAL BEHAVIORAL HEALTH CENTER |
| Practice Address |
491 Pinon Street Shiprock NM 87420-1830 |
| Mailing Address |
Po Box 1830 Hwy 491 Pinon Street Shiprock NM 87420-1830 |
| Practice Telephone | 5053681438 |
| Practice Fax Number | 5053681462 |
| Mailing Telephone | 5053681438 |
| Mailing Fax Number | 5053681462 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |
| Authorized Official Name | HARRY CLARK JR. (TRADITIONAL HEALER) |
| Authorized Official Telephone | 5053681438 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Navajo Regional Behavioral Health Center | Other Name - Individual/Organization |
| Street Address |
491 PINON STREET |
| City | SHIPROCK |
| State | NM |
| Zip Code | 87420-1830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003424383 | Ciara Hansen | Psychologist | Us- 491, Shiprock, NM 87420 | 2020-07-22 |
| 1013540848 | Kelsi Marie Hartwig | Dental Hygienist | Highway 491 North, Yucca Street, Shiprock, NM 87420 | 2020-02-20 |
| 1194364232 | Maria Sturtz | Pharmacist | Us Why 491 North, Shiprock, NM 87420 | 2020-01-06 |
| 1811533979 | Merissa Jo De La Garza | Pharmacist | Highway 491 S, Shiprock, NM 87420 | 2019-11-25 |
| 1619528510 | Heather Scott | Psychologist | Highway 64, Old High School Road, Shiprock, NM 87420 | 2019-09-23 |
| 1396305264 | Malaura Creager | Pharmacist | North Hwy 491, Shiprock, NM 87420 | 2019-06-13 |
| 1275011488 | Dawn Fowler | Registered Nurse | Us Highway 64, Shiprock, NM 87420 | 2018-07-31 |
| 1902384373 | Brittany Jones | Occupational Therapy Assistant | Us 64, Old High School Rd., Shiprock, NM 87420 | 2018-07-30 |
| 1528561701 | Patricia D Suarez | Registered Nurse | Central Consolidated School of New Mexico, Hwy 64, Old High School Road, Shiprock, NM 87420 | 2018-03-14 |
| 1023549284 | Ellen Liversidge | Speech-Language Pathologist | Hwy 64, Old High School Rd., Shiprock, NM 87420 | 2017-03-21 |
| Find all providers in zip 87420 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073711693 | Navajo Regional Behavioral Health Center - Adolescent Residential | Substance Abuse Rehabilitation Facility | Pinon & Cottonwood Dr Building #2301, Shiprock, NM 87402 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790179844 | Eight Northern Indian Pueblos | Substance Abuse Rehabilitation Facility | 1130 Butterfly Road, Taos, NM 87571 | 2015-03-26 |
| 1194891218 | Presbyterian Medical Services | Substance Abuse Rehabilitation Facility | 851 Andrea Dr, Suite 4, Building E, Farmington, NM 87401-6726 | 2006-11-28 |
| 1043857147 | Herron Solutions LLC | Substance Abuse Rehabilitation Facility | 817 Desi Loop, Belen, NM 87002-8068 | 2019-12-08 |
| 1275910101 | Healing Addiction In Our Community | Substance Abuse Rehabilitation Facility | 3701 Condershire Dr Sw, Albuquerque, NM 87121-5253 | 2015-04-29 |
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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.