NPIMap

Organization Active NPI

Perfectly Imperfect

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Albuquerque, NM
National Provider Identifier
1003582461
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PERFECTLY IMPERFECT
Practice address
146 Quincy St NE
Albuquerque, NM 87108-1257
Phone
(505) 550-1306
Fax
(844) 434-8055
NPI assigned
Aug 17, 2021
Last updated
Aug 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Authorized official

Name
Dominic John Cagliostro, LCSWNPI 1417281890
Title
Ceo
Phone
(505) 465-9117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

146 Quincy St NE
Albuquerque, NM 87108-1257

Mailing address

146 Quincy St NE
Albuquerque, NM 87108-1257
Phone (505) 550-1306

National Provider Directory

National Provider Directory
Tax ID family
Perfectly Imperfect2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1003582461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 QUINCY ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081257",
            "telephone_number": "505-550-1306",
            "fax_number": "844-434-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 QUINCY ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081257",
            "telephone_number": "505-550-1306",
            "fax_number": "844-434-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECTLY IMPERFECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-17",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "CAGLIOSTRO",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-465-9117",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.