NPIMap

Organization Active NPI

Presbyterian Medical Services

  • Social Worker
  • Farmington, NM
National Provider Identifier
1083861355
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I-06083 Issued in NM
Legal business name
PRESBYTERIAN MEDICAL SERVICES
Practice address
851 Andrea Dr
Suite 4, Building E
Farmington, NM 87401-6726
Phone
(505) 324-5855
Fax
(505) 324-5896
NPI assigned
Aug 19, 2008
Last updated
Aug 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Mrs. Melisa R Mortensen, LISW
Title
Clinical Services Administrator
Phone
(505) 324-5855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I-06083 NM Primary

Addresses

Primary practice location

851 Andrea Dr
Suite 4, Building E
Farmington, NM 87401-6726

Mailing address

851 Andrea Dr
Suite 4, Building E
Farmington, NM 87401-6726
Phone (505) 324-5855

National Provider Directory

National Provider Directory
Tax ID family
PMS Dba Roundtree Childrens' Development Services70 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

Locations

851 Andrea Dr
Ste 4
Farmington, NM 87401
Phone (505) 324-5855

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1083861355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 ANDREA DR",
            "address_2": "SUITE 4, BUILDING E",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016726",
            "telephone_number": "505-324-5855",
            "fax_number": "505-324-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 ANDREA DR",
            "address_2": "SUITE 4, BUILDING E",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016726",
            "telephone_number": "505-324-5855",
            "fax_number": "505-324-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESBYTERIAN MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "MORTENSEN",
        "authorized_official_first_name": "MELISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL SERVICES ADMINISTRATOR",
        "authorized_official_telephone_number": "505-324-5855",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "I-06083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.