Epoch Behavioral Healthcare, Inc.

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

Legal business name

EPOCH BEHAVIORAL HEALTHCARE, INC.

Practice address

11501 Montgomery Blvd NE
Albuquerque, NM 87111-2796

Phone

(575) 525-8484

Fax

(575) 449-2445

NPI assigned

Apr 21, 2016

Organization subpart

No

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

Authorized official

Name

Eddie Alvarez, NRCMA

Title

Credentialing Specialist

Phone

(575) 449-2718

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Epoch Behavioral Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Epoch Integrated Health Services

  • Counselor
  • Las Cruces, NM
  • NPI 1992243513
  NPD tax ID

Locations

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285088658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S MAIN ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011278",
            "telephone_number": "575-525-8484",
            "fax_number": "575-449-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11501 MONTGOMERY BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112796",
            "telephone_number": "575-525-8484",
            "fax_number": "575-449-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPOCH BEHAVIORAL HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "575-449-2718",
        "authorized_official_credential": "NRCMA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35126876",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Epic Pathway LLC
• Epidaurus
• Epiphany Dermatology of New Mexico, LLC
• Epiphany Mental Health Counseling
• Epmed, PA
• Kaylee R Epperson
• Christine Elaine Epstein, MA, CCC-A
• Jane E Loubier Epstein, CPNP
• Mark A Epstein, MD
• Naomi Epstein, MD

• Clinical Nurse Specialist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Nurse Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.