Four Corners Behavioral Health

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

FOUR CORNERS BEHAVIORAL HEALTH

Practice address

1500 S Second St Ste a
Gallup, NM 87301-5898

Phone

(507) 722-2923

NPI assigned

Dec 16, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Richard K Laughter, M.D.

Title

Psychaitry

Phone

(505) 879-6575

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1063008761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 BOX CANYON AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016940",
            "telephone_number": "505-722-2923",
            "fax_number": "505-722-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S SECOND ST STE A",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015898",
            "telephone_number": "507-722-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR CORNERS BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "LAUGHTER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PSYCHAITRY",
        "authorized_official_telephone_number": "505-879-6575",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce David Forman, M.D.
• Sarah Marie Fort, RN
• Miriam V Fossum, RN
• Carole T. Foster, RN
• Ellen Foster, RN
• Sandra L. Fouser
• Jack B Fralinger, M.D.
• Ona Fralinger, RN
• Andora Francisco, RN
• Christina M. Francisco

• Psychiatry Physician in Gallup, NM
• Providers in Gallup, NM by specialty
• Psychiatry Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.