Organization Active NPI

Red Mountain Family Services, Inc.

  • Foster Care Agency
  • Rio Rancho, NM
National Provider Identifier
1154475317
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
4423 Issued in NM
Legal business name
RED MOUNTAIN FAMILY SERVICES, INC.
Practice address
2001 Spring Dr SE
Rio Rancho, NM 87124-2483
Phone
(505) 994-0364
Fax
(505) 994-0384
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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

Authorized official

Name
Ms. Cynthia Clark Thompson, MPA
Title
Excutive Director
Phone
(505) 994-0364

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0000X 4423 NM
Foster Care Agency 253J00000X 4423 NM Primary

Addresses

Primary practice location

2001 Spring Dr SE
Rio Rancho, NM 87124-2483

Mailing address

2001 Spring Dr SE
Rio Rancho, NM 87124-2483
Phone (505) 994-0364

Other identifiers 1

IdentifierTypeStateIssuer
12280887MedicaidNM

National Provider Directory

National Provider Directory

Locations

2001 Spring Dr SE
Rio Rancho, NM 87124
Phone (505) 994-0364

Practitioners & affiliated clinicians

Practitioners 5

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1154475317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SPRING DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242483",
            "telephone_number": "505-994-0364",
            "fax_number": "505-994-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SPRING DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242483",
            "telephone_number": "505-994-0364",
            "fax_number": "505-994-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED MOUNTAIN FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "EXCUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-994-0364",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": "NM",
            "license": "4423",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NM",
            "license": "4423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12280887",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.