Active NPI
Jill Straits, PHD
- Clinical Psychologist
- Albuquerque, NM
National Provider Identifier
1215160742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1226
- Practice address
- 1317 Isleta Blvd SW
Albuquerque, NM 87105-4035 - Phone
- (505) 312-7296
- NPI assigned
- Sep 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1226 | NM | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 1226 | NM | |
| Psychologist | 103T00000X | 1226 | NM |
Addresses
Primary practice location
1317 Isleta Blvd SW
Albuquerque, NM 87105-4035
Mailing address
PO Box 10851
Albuquerque, NM 87184-0851
Phone (505) 720-3371
Other names 1
- Kee Straits
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1226 | NM | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Savila Collaborative | Past | Accepting new patients | |
| Centro Savila LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1801159884
-
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1154678639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361145600000",
"number": "1215160742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10851",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871840851",
"telephone_number": "505-720-3371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 ISLETA BLVD SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871054035",
"telephone_number": "505-312-7296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAITS",
"first_name": "JILL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-01",
"last_updated": "2013-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NM",
"license": "1226",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NM",
"license": "1226",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NM",
"license": "1226",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KEE",
"last_name": "STRAITS",
"credential": "PHD",
"code": "2",
"type": "Professional Name"
}
]
}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 Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.