Bluebonnet Child & Adolescent Psychiatry PA

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

Legal business name

BLUEBONNET CHILD & ADOLESCENT PSYCHIATRY PA

Practice address

5505 N Mesa St
Suite 1
El Paso, TX 79912-5422

Phone

(915) 532-9200

NPI assigned

Mar 9, 2011

Last updated

Apr 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Noami M Diaz, MDNPI 1710026737

Title

President

Phone

(915) 532-9200

Specialties & licenses 1

Addresses

Locations

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.

• Noami Diaz, MD

  • Psychiatry Physician
  • El Paso, TX
  • NPI 1710026737
  NPD (past) Authorized official

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1134427545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 N MESA ST",
            "address_2": "SUITE 1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125422",
            "telephone_number": "915-532-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 N MESA ST",
            "address_2": "SUITE 1",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125422",
            "telephone_number": "915-532-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBONNET CHILD & ADOLESCENT PSYCHIATRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "NOAMI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-532-9200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmental - Behavioral Pediatrics Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Developmental - Behavioral Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.