New Mexico After School Enrichment

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1147 Issued in NM

Legal business name

NEW MEXICO AFTER SCHOOL ENRICHMENT

Practice address

3777 Corrales Rd
Corrales, NM 87048-9140

Phone

(505) 379-1793

NPI assigned

Oct 24, 2014

Organization subpart

No

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

Authorized official

Name

Robert Hobbs, MPH, OTR/L

Title

Ceo

Phone

(505) 379-1793

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1154726776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 CORRALES RD",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870489140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 CORRALES RD",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870489140",
            "telephone_number": "505-379-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO AFTER SCHOOL ENRICHMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "HOBBS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-379-1793",
        "authorized_official_credential": "MPH, OTR/L"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NM",
            "license": "1147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emory W Moore, LPCC
• Glenda Marie Moore, O. T.
• Naomi Moraga, CNP
• Natalie M Naranjo-Rodriguez, MA LPC NCC
• Timothy Neugebauer, MOTR/L
• New Mexico Counseling Center
• New Mexico Functionl Integrative Therapies
• Nirvana LLC
• Jazmine Ortiz-Duran
• Eva Christina Pacheco, MD

• Clinic/Center in Corrales, NM
• Providers in Corrales, NM by specialty
• Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.