101 Therapy LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

101 THERAPY LLC

Practice address

508 3Rd St SW
Albuquerque, NM 87102-3836

Phone

(505) 257-6868

Fax

(505) 521-5161

NPI assigned

Jun 16, 2021

Last updated

Jun 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gabriel Garcia

Title

Owner

Phone

(505) 257-6868

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1205404159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 3RD ST SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023836",
            "fax_number": "505-521-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 3RD ST SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023836",
            "telephone_number": "505-257-6868",
            "fax_number": "505-521-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "101 THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-257-6868"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 10101 Lagrima de Oro Road Opco, LLC (Canyon Transitional Rehab Post Acute)
• 103 Hospital Loop NE Opco, LLC (Albuquerque Heights Post Acute)
• 11.11, LLC
• 180 Medical, Inc.
• 1918 Winter Street Operating Co LLC (Albertsons Market Pharmacy #0924)

• Clinical Psychologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.