Jesus G. Garcia-Prada, PH.D.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2632 Issued in NM

Practice address

5100 Second Street NW
Albuquerque, NM 87107-4009

Phone

(505) 342-3799

Fax

(505) 342-3785

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205997491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12441 TOWNER AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123659",
            "telephone_number": "505-294-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 SECOND STREET NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074009",
            "telephone_number": "505-342-3799",
            "fax_number": "505-342-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-PRADA",
        "first_name": "JESUS",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "2632",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "NM101546",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92433286",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriel Garcia Rosenbaum, MD
• Garcia Sloan Centers, LLC
• Diego Edmundo Garcia-Gutierrez
• Nichelle Nicole Garcia-Gutierrez
• Yoselin Garcia-Pallarez
• Kathy Garcia-Quezada, RN
• Erin Garcia-Rimorin
• Jacqueline Marie Garcia-Sanchez, FNP-BC
• Yvonne Garcia-Tafoya
• Reyna Garcia-Trujillo

• Professional Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.