NPIMap

Organization Active NPI

Teambuilders Behavioral Health, LLC

  • Community/Behavioral Health Agency
  • Moriarty, NM
National Provider Identifier
1245809615
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TEAMBUILDERS BEHAVIORAL HEALTH, LLC
Practice address
717 W Abrahames Rd Ste D
Moriarty, NM 87035-8197
Phone
(505) 384-0220
Fax
(505) 384-0222
NPI assigned
Jun 21, 2021
Last updated
Jun 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Authorized official

Name
Sun Vega
Title
Chief Operations Officer
Phone
(505) 235-4002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

717 W Abrahames Rd Ste D
Moriarty, NM 87035-8197

Mailing address

PO Box 28164
Santa Fe, NM 87592-8164
Phone (505) 501-8974

Other identifiers 1

IdentifierTypeStateIssuer
01981331MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
Teambuilders Behavioral Health LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1245809615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28164",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875928164",
            "telephone_number": "505-501-8974",
            "fax_number": "505-501-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 W ABRAHAMES RD STE D",
            "city": "MORIARTY",
            "state": "NM",
            "postal_code": "870358197",
            "telephone_number": "505-384-0220",
            "fax_number": "505-384-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAMBUILDERS BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "SUN",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "505-235-4002"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01981331",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moriarty, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.