Firststeps Autism Evaluations, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

FIRSTSTEPS AUTISM EVALUATIONS, LLC

Practice address

2811 Indian School Rd NE
Albuquerque, NM 87106-1825

Phone

(505) 449-7209

Fax

(833) 972-1950

NPI assigned

Apr 21, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Mary Elizabeth Klotz, PHD

Title

Psychologist

Phone

(505) 449-7209

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1215557194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 INDIAN SCHOOL RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061825",
            "telephone_number": "505-449-7209",
            "fax_number": "833-972-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 INDIAN SCHOOL RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061825",
            "telephone_number": "505-449-7209",
            "fax_number": "833-972-1950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Ridgecrest Dr SE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871084436",
            "country_code": "US",
            "telephone_number": "505-449-7209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FIRSTSTEPS AUTISM EVALUATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "KLOTZ",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "505-449-7209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27079708",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First Nations Community Healthsource Inc
• First Nations Community Healthsource Inc
• First Nations Community Healthsource Pharmacy
• First Nations Naca SBHC
• First Resort Interventions, LLC
• Beverly R Firth, RN, MN, CNS
• Brenna Fisch
• Bruce J. Fisch, MD
• Christy Fischer, PHARM D
• Edgar G Fischer, MD

• Adolescent and Children Mental Health Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Adolescent and Children Mental Health Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.