Organization Active NPI

Innate Wisdom Psychotherapy

  • Community/Behavioral Health Agency
  • Santa Fe, NM
National Provider Identifier
1053023879
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INNATE WISDOM PSYCHOTHERAPY
Doing business as
Innate Wisdom Psychotherapy
Practice address
530B Harkle Rd Ste 100
Santa Fe, NM 87505-4739
Phone
(415) 250-6106
NPI assigned
Dec 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Authorized official

Name
Patricia L Duncan, LPCC
Title
Owner
Phone
(415) 250-6106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

530B Harkle Rd Ste 100
Santa Fe, NM 87505-4739

Mailing address

530B Harkle Rd Ste 100
Santa Fe, NM 87505-4739
Phone (415) 250-6106

Other names 1

  • Innate Wisdom Psychotherapy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671753600000",
    "number": "1053023879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530B HARKLE RD STE 100",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054739",
            "telephone_number": "415-250-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530B HARKLE RD STE 100",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054739",
            "telephone_number": "415-250-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE WISDOM PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-250-6106",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innate Wisdom Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.