NPIMap

Organization Active NPI

Bernalillo County

Doing business as Children's Community Mental Health Clinic

  • Case Management Agency
  • Albuquerque, NM
National Provider Identifier
1184787400
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
3079 Issued in NM
Legal business name
BERNALILLO COUNTY
Doing business as
Children's Community Mental Health Clinic
Practice address
5100 2ND St NW
Albuquerque, NM 87107-4009
Phone
(505) 342-3799
Fax
(505) 342-3785
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Thomas Swisstack
Title
Director
Phone
(505) 342-3740

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 3079 NM Primary
Community/Behavioral Health Agency 251S00000X 3079 NM

Addresses

Primary practice location

5100 2ND St NW
Albuquerque, NM 87107-4009

Mailing address

PO Box 6506
Albuquerque, NM 87197-6506
Phone (505) 342-3740

Other identifiers 3

IdentifierTypeStateIssuer
88928551MedicaidNM
NM600050OtherNMVALUE OPTIONS
17367OtherNMLOVELACE COMMERCIAL

Other names 1

  • Children's Community Mental Health Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
County of Bernalillo7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1184787400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6506",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871976506",
            "telephone_number": "505-342-3740",
            "fax_number": "505-342-3785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 2ND ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074009",
            "telephone_number": "505-342-3799",
            "fax_number": "505-342-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNALILLO COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SWISSTACK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-342-3740",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NM",
            "license": "3079",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "3079",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88928551",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "NM600050",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE COMMERCIAL",
            "identifier": "17367",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Community Mental Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.