Still Point Psychotherapy & Wellness LLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Tijeras, NM
NPI 1003535808 · NPPES record last updated Aug 25, 2022
Key facts
- NPI
- 1003535808
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- STILL POINT PSYCHOTHERAPY & WELLNESS LLC
- Practice address
- 12 Equestrian CT
Tijeras, NM 87059-7621 - Phone
- (505) 901-8087
- NPI assigned
- Aug 24, 2022
- Organization subpart
- No
Authorized official
- Name
- Jennifer F Bernard
- Title
- Owner
- Phone
- (505) 918-8087
Practitioners 1
-
Jennifer Fawn Bernard, PH.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221025002813 | NM | Part B Supplier - Clinic/Group Practice | 2062888563 |
Receives reassigned benefits from 1 practitioner Practice locations: Tijeras, NM |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
12 Equestrian CT
Tijeras, NM 87059-7621
Mailing address
12 Equestrian CT
Tijeras, NM 87059-7621
Phone (505) 901-8087
Other providers in Tijeras, NM
- Francisco Silva
- Courtney Slightam
- Cathleen Snyder
- Annette Sobel
- Susan Ott Stavis
- Jay E Stoltzfus
- Daniel Suazo
- John Peter Sullivan
- Debra Tapia
- Mikayla Bah Tinney
All providers in Tijeras, NM · Mental Health Clinic/Center (Including Community Mental Health Center) in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.