Individual provider Active NPI

Calvin Bolinder, PHD, PPCC

  • Mental Health Counselor
  • Alamogordo, NM
National Provider Identifier
1063505584
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0161 Issued in NM
Practice address
1208 N New York Ave
Alamogordo, NM 88310-6728
Phone
(505) 437-8865
Fax
(505) 437-1446
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0161 NM Primary

Addresses

Primary practice location

1208 N New York Ave
Alamogordo, NM 88310-6728

Mailing address

1208 N New York Ave
Alamogordo, NM 88310-6728
Phone (505) 437-8865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240219001592 NM Practitioner - Mental Health Counselor 7911341953 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0161NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Sky Counseling Associates CurrentSince Jan 1, 2024 Accepting new patients

Locations

1301 Oregon Ave
Ste A
Alamogordo, NM 88310
Phone (575) 214-2886

1021 N Florida Ave
Alamogordo, NM 88310

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063505584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 N NEW YORK AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106728",
            "telephone_number": "505-437-8865",
            "fax_number": "505-437-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 N NEW YORK AVE",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106728",
            "telephone_number": "505-437-8865",
            "fax_number": "505-437-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLINDER",
        "first_name": "CALVIN",
        "name_prefix": "Dr.",
        "credential": "PHD, PPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

Verify at the official NPI Registry.