NPIMap

Organization Active NPI

Psychotherapy & Pastoral Counseling Associates

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Fe, NM
National Provider Identifier
1083149678
Registry record updated May 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PSYCHOTHERAPY & PASTORAL COUNSELING ASSOCIATES
Practice address
2019 Galisteo St
Suite M1A
Santa Fe, NM 87505-2143
Phone
(505) 988-4131
NPI assigned
Apr 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2017

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

Authorized official

Name
David Dennedy-Frank, PH.D.NPI 1073520367
Title
Clinical Psychologist
Phone
(505) 988-4131

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2019 Galisteo St
Suite M1A
Santa Fe, NM 87505-2143

Mailing address

2019 Galisteo St
Suite Mia
Santa Fe, NM 87505-2143
Phone (505) 988-4131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170616000144 NM Part B Supplier - Clinic/Group Practice 2062780083 Receives reassigned benefits from 10 practitioners
Practice locations: Santa Fe, NM

National Provider Directory

National Provider Directory

Locations

2019 Galisteo St
Ste M1A
Santa Fe, NM 87505
Phone (505) 988-4131

2019 Galisteo St
Ste Mia
Santa Fe, NM 87505

Practitioners & affiliated clinicians

Practitioners 12

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": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493942400000",
    "number": "1083149678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST",
            "address_2": "SUITE MIA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052143",
            "telephone_number": "505-988-4131",
            "fax_number": "505-992-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 GALISTEO ST",
            "address_2": "SUITE M1A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052143",
            "telephone_number": "505-988-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY & PASTORAL COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-05-05",
        "status": "A",
        "authorized_official_last_name": "DENNEDY-FRANK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "505-988-4131",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.