Patrick O Obermuller

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CAD0200771 Issued in NM

Practice address

4101 Mountain Trail Loop NE
Rio Rancho, NM 87144-7012

Phone

(575) 415-8575

NPI assigned

Sep 12, 2019

Last updated

Sep 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1235789157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44971",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871744971",
            "telephone_number": "575-415-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 MOUNTAIN TRAIL LOOP NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871447012",
            "telephone_number": "575-415-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERMULLER",
        "first_name": "PATRICK",
        "middle_name": "O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "CAD0200771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16062019",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "patrickobermuller38@gmail.com",
            "affiliation": "N",
            "address_1": "4101 Mountain Trail Loop NE",
            "city": "Rio Rancho",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871447012",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "patrickobermuller#8@gmail.com",
            "affiliation": "N",
            "address_1": "4101 Mountain Trail Loop NE",
            "city": "Rio Rancho",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871447012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cade Carl Nykamp, DMD
• Stany Bizimana Nzabarinda
• Tariq O'Brien
• Shawn David O'Connell, LPCC
• Christian Obeji
• Uche N Obisike, MD
• Kimberly Obregon
• Dan T Obrien, MSW
• Rachel Ochoa, LPCC
• Sunita Ochoa, LPCC

• Addiction (Substance Use Disorder) Counselor in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.