NPIMap

Organization Active NPI

Navajo Regional Behavioral Health Center - Adolescent Residential

  • Children's Substance Abuse Rehabilitation Facility
  • Shiprock, NM
National Provider Identifier
1073711693
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X
Legal business name
NAVAJO REGIONAL BEHAVIORAL HEALTH CENTER - ADOLESCENT RESIDENTIAL
Practice address
Building 2301 Pinion Drive & Aspen Street
Shiprock, NM 87402
Phone
(505) 368-1438
Fax
(505) 368-1452
NPI assigned
Jul 5, 2007
Last updated
Aug 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Authorized official

Name
Vera John, LPCCNPI 1073707600
Title
Behavioral Health Director
Phone
(505) 722-9470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Children's Substance Abuse Rehabilitation Facility 3245S0500X Primary

Addresses

Primary practice location

Building 2301 Pinion Drive & Aspen Street
Shiprock, NM 87402

Mailing address

PO Box 1830
Shiprock, NM 87420-1830
Phone (505) 368-1050

Other names 1

  • Navajo Nation Shiprock Treatment Center Adolescent Unit Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Chinle Outpatient Treatment Center18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1073711693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1830",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874201830",
            "telephone_number": "505-368-1050",
            "fax_number": "505-368-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING 2301 PINION DRIVE & ASPEN STREET",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "87402",
            "telephone_number": "505-368-1438",
            "fax_number": "505-368-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAJO REGIONAL BEHAVIORAL HEALTH CENTER - ADOLESCENT RESIDENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "VERA",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "505-722-9470",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Navajo Nation Shiprock Treatment Center Adolescent Unit",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Navajo Nation Shiprock Treatment Center Adolescent Unit",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Shiprock, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.