Active NPI
Dismas House
- Mental Illness Community Based Residential Treatment Facility
- Albuquerque, NM
National Provider Identifier
1205219771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- NPI#1902918055
- Legal business name
- DISMAS HOUSE
- Practice address
- 701 Candelaria
Albuquerque, NM 87108 - Phone
- (505) 343-0746
- Fax
- (505) 345-4513
- NPI assigned
- Jul 2, 2015
- Last updated
- Jul 2, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Givens
- Title
- Community Service Worker
- Phone
- (505) 343-0746
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | NPI#1902918055 | NM | Primary |
Addresses
Primary practice location
701 Candelaria
Albuquerque, NM 87108
Mailing address
PO Box 6101
Albuquerque, NM 87197-6101
Phone (505) 343-0746
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N3938 | Medicaid | NM |
National Provider Directory
National Provider Directory- Tax ID family
- St Martin's Hospitality Center
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Albuquerque, NM
- NPI 1902918055
-
- Social Worker
- Albuquerque, NM
- NPI 1184097057
-
- Case Management Agency
- Albuquerque, NM
- NPI 1225407752
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Albuquerque, NM
- NPI 1346365301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435795200000",
"number": "1205219771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6101",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871976101",
"telephone_number": "505-343-0746",
"fax_number": "505-345-4513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 CANDELARIA",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87108",
"telephone_number": "505-343-0746",
"fax_number": "505-345-4513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISMAS HOUSE",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-02",
"last_updated": "2015-07-02",
"status": "A",
"authorized_official_last_name": "GIVENS",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "COMMUNITY SERVICE WORKER",
"authorized_official_telephone_number": "505-343-0746",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NM",
"license": "NPI#1902918055",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N3938",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
- Michel B Disco, RPH
- Discovering Greatness, LLC
- Disease Management Clinic (Sandia National Laboratories)
- Marie Disho Andrada, PHARM D
- Mary Lindgren Dishongh, D.O.M.
- Dismas House NM Inc.
- Patricia Heather Diswood, DENTAL HYGIENIST
- Julianne Marie Ditto, OT
- Nicoletta Divasto, CPSW
- Mukul Kiran Divatia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.