Integrated Healthcare of New Mexico

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

1251 Issued in NM

Legal business name

INTEGRATED HEALTHCARE OF NEW MEXICO

Practice address

7632 William Moyers Ave NE
Albuquerque, NM 87122-2765

Phone

(505) 554-1716

Fax

(505) 792-5222

NPI assigned

Sep 16, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephen L Cheshire III, PHD

Title

Ceo

Phone

(505) 554-1716

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1003218553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7632 WILLIAM MOYERS AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222765",
            "telephone_number": "505-554-1716",
            "fax_number": "505-792-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7632 WILLIAM MOYERS AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222765",
            "telephone_number": "505-554-1716",
            "fax_number": "505-792-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED HEALTHCARE OF NEW MEXICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "CHESHIRE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-554-1716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NM",
            "license": "1251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrate Wellness Center LLC
• Integrated Care Physicians PLLC
• Integrated Concepts
• Integrated Concepts, Inc
• Integrated Family Wellness Center, LLC
• Integrated Wellness
• Integrated Wellness
• Integrative Counseling & Psychotherapy Services, LLC
• Integrative Elements NM
• Integrative Medicine Clinic

• Prescribing (Medical) Psychologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Prescribing (Medical) Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.