Obsidian Psychotherapy, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

OBSIDIAN PSYCHOTHERAPY, LLC

Practice address

1482 S Saint Francis Dr Ste B
Santa Fe, NM 87505-4098

Phone

(505) 927-9169

NPI assigned

Jul 8, 2022

Organization subpart

No

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

Authorized official

Name

Leland Guthrie, PHDNPI 1871246819

Title

Clinical Psychologist

Phone

(505) 927-9169

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leland Guthrie

  • Clinical Psychologist
  • Santa Fe, NM
  • NPI 1871246819
  NPD Authorized official

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1063145738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12B ECKARDS WAY",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875329878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1482 S SAINT FRANCIS DR STE B",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054098",
            "telephone_number": "505-927-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBSIDIAN PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "GUTHRIE",
        "authorized_official_first_name": "LELAND",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "505-927-9169",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluyomi Obafemi, M.D.
• Melissa Dawn Oberg
• Audra Mariah Oberloh
• Jennifer Lauren Oberly Wolf, MA, LMFT
• Kevin James Obrien, LCSW
• Eileen Marie Ocampo, M.S.
• Occupational Health Centers of the Southwest, P.a.
• Montserrat Oceguera-Campos, LCSW
• Amanda Ochoa-Sandoval
• Tudor Ocneanu, MD

• Psychologist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.