Buen Salud Inc
Organization Active NPI Community/Behavioral Health Agency · Santa Teresa, NM
NPI 1275858490 · NPPES record last updated Nov 19, 2024
Key facts
- NPI
- 1275858490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- BUEN SALUD INC
- Practice address
- 101 Livingston Loop Ste C1
Santa Teresa, NM 88008-9753 - Phone
- (575) 824-9000
- Fax
- (866) 232-9241
- NPI assigned
- Mar 30, 2010
- Organization subpart
- No
Authorized official
- Name
- Ms. Claudia Naranjo
- Title
- Ceo/Administrator
- Phone
- (575) 824-9000
Practitioners 14
-
Ilse Aimee Carrillo, LMSW
-
Crystal Heredia-Sanchez, LCSW
-
Peter Norman Smith, PSYD
-
Omar Torres, LCSW
-
Maria Adelina Frisbie-Veal, RN, FNP-C
-
Samuel Nunez, LCSW
-
Tommy McGoldrick, LMHC
-
Jessica York-Franco, MA., L.P.C.
-
Sandra Martinez, PH.D.
-
Stephanie Witwer, LPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140116000818 | NM | Part B Supplier - Clinic/Group Practice | 9931337060 |
Receives reassigned benefits from 9 practitioners Practice locations: Santa Teresa, NM |
National Provider Directory
Locations
10151 Montgomery Blvd NE
Albuquerque, NM 87111
Phone (505) 275-1663
101 Livingston Loop
Ste C1
Santa Teresa, NM 88008
Phone (505) 506-2546
103 Livingston Loop
Ste B4
Santa Teresa, NM 88008
Phone (575) 332-4271
103 Livingston Loop
#4
Santa Teresa, NM 88008
Phone (575) 332-4271
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
101 Livingston Loop Ste C1
Santa Teresa, NM 88008-9753
Mailing address
PO Box 1063
Santa Teresa, NM 88008-1063
Phone (575) 332-4271
Other practice location 1
10420 Montwood Dr Ste N
El Paso, TX 79935-2731
Phone (915) 594-8685
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3339723 | Medicaid | TX | |
| 75927551 | Medicaid | NM |
Other providers in Santa Teresa, NM
- Yesenia Maria Bravo
- Christian Brito
- Tania Bryan-Romero
- Matthew Christopher Bryan
- Alexandria Bryant
- Yadira Bueno
- Maria Lourdes Burciaga
- Anabel Bustos
- Ricardo Cadena Jr.
- Henry Calderoni
All providers in Santa Teresa, NM · Community/Behavioral Health Agency in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.