Active NPI
Your Missing Piece PSR
- Community/Behavioral Health Agency
- Albuquerque, NM
National Provider Identifier
1285087452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 1T3556
- Legal business name
- YOUR MISSING PIECE PSR
- Practice address
- 222 La Veta Dr NE
Albuquerque, NM 87108-1615 - Phone
- (505) 600-3981
- NPI assigned
- Jul 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David S Rios
- Title
- Clinical Director/Ceo
- Phone
- (505) 600-3981
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 1T3556 | NM | Primary |
Addresses
Primary practice location
222 La Veta Dr NE
Albuquerque, NM 87108-1615
Mailing address
222 La Veta Dr NE
Albuquerque, NM 87108-1615
Phone (505) 600-3981
National Provider Directory
National Provider DirectoryLocations
222 La Veta Dr NE
Albuquerque, NM 87108
Phone (505) 600-3981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469145600000",
"number": "1285087452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 LA VETA DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871081615",
"telephone_number": "505-600-3981",
"fax_number": "184-478-4864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 LA VETA DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871081615",
"telephone_number": "505-600-3981"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUR MISSING PIECE PSR",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-22",
"last_updated": "2016-07-22",
"status": "A",
"authorized_official_last_name": "RIOS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CLINICAL DIRECTOR/CEO",
"authorized_official_telephone_number": "505-600-3981"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NM",
"license": "1T3556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.