Organization Active NPI

Madeleine N Stevens

  • Community/Behavioral Health Agency
  • Bernalillo, NM
National Provider Identifier
1063957983
Registry record updated Jan 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0121691 Issued in NM
Legal business name
MADELEINE N STEVENS
Practice address
301 S Camino del Pueblo
Bernalillo, NM 87004-6276
Phone
(505) 385-5281
NPI assigned
Jan 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2017

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

Authorized official

Name
Madeleine Noel StevensNPI 1053575753
Title
Owner/Psychotherapist
Phone
(505) 385-5281

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0121691 NM Primary
Community/Behavioral Health Agency 251S00000X 0106661 NM

Addresses

Primary practice location

301 S Camino del Pueblo
Bernalillo, NM 87004-6276

Mailing address

9 Camino de San Felipe
Placitas, NM 87043-9388

Other identifiers 1

IdentifierTypeStateIssuer
10325549MedicaidNM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1483228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483228800000",
    "number": "1063957983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAMINO DE SAN FELIPE",
            "city": "PLACITAS",
            "state": "NM",
            "postal_code": "870439388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S CAMINO DEL PUEBLO",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870046276",
            "telephone_number": "505-385-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADELEINE N STEVENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-01",
        "last_updated": "2017-01-01",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "MADELEINE",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "505-385-5281"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0121691",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0106661",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10325549",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bernalillo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2017; 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.