Villa Santa Maria

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

1114 Issued in NM

Legal business name

VILLA SANTA MARIA

Practice address

19 Cirquela Rd
Cedar Crest, NM 87008

Phone

(505) 281-3609

Fax

(505) 281-0124

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Joseph J McGuill

Title

Ceo

Phone

(505) 281-3609

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219363200000",
    "number": "1124156815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 156",
            "city": "CEDAR CREST",
            "state": "NM",
            "postal_code": "87008",
            "telephone_number": "505-281-3609",
            "fax_number": "505-281-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CIRQUELA RD",
            "city": "CEDAR CREST",
            "state": "NM",
            "postal_code": "87008",
            "telephone_number": "505-281-3609",
            "fax_number": "505-281-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA SANTA MARIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGUILL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-281-3609"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NM",
            "license": "1114",
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NM",
            "license": "1115",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NM",
            "license": "1116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sayerd R Tribbey
• Turquoise Family Services, LLC
• Turquoise Trail Counseling LLC
• Upstream
• Maria L Uriarte, OT
• Lani Watkins
• Kathy Wolf, CNP

• All providers in Cedar Crest, NM
• Emotionally Disturbed Childrens' Residential Treatment Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.