La Familia Mental Health Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

I-07156 Issued in NM

Legal business name

LA FAMILIA MENTAL HEALTH SERVICES

Practice address

105 W 3Rd St Ste 234
Roswell, NM 88201-4772

Phone

(575) 623-1220

Fax

(575) 623-1240

NPI assigned

Jan 28, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Manuel B. Martinez

Title

Owner

Phone

(575) 623-1220

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael A Fraga, PSY.D.

  • Clinical Neuropsychologist
  • Roswell, NM
  • NPI 1518938315
  Medicare reassignment Care Compare group NPD
• Nathan Matthew Padilla, LCSW

  • Clinical Social Worker
  • Roswell, NM
  • NPI 1801129184
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1134450364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 W 3RD ST STE 234",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014772",
            "telephone_number": "575-623-1220",
            "fax_number": "575-623-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 W 3RD ST STE 234",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014772",
            "telephone_number": "575-623-1220",
            "fax_number": "575-623-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA FAMILIA MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-623-1220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "I-07156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Erika J Labra, DO
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• Kelsi A Lamb, PTA
• Nicole Landers
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• Community/Behavioral Health Agency in Roswell, NM
• Providers in Roswell, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.