Organization Active NPI

Umoja Behavioral Health PC

  • Student in an Organized Health Care Education/Training Program
  • Albuquerque, NM
National Provider Identifier
1295694651
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
UMOJA BEHAVIORAL HEALTH PC
Practice address
3150 Carlisle Blvd NE Ste 105
Albuquerque, NM 87110-1680
Phone
(505) 663-8173
Fax
(505) 672-7769
NPI assigned
Jan 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Jessica Ruth Brown
Title
MSW Student Intern
Phone
(505) 663-8173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

3150 Carlisle Blvd NE Ste 105
Albuquerque, NM 87110-1680

Mailing address

3150 Carlisle Blvd NE Ste 105
Albuquerque, NM 87110-1680
Phone (505) 663-8173

National Provider Directory

National Provider Directory

Locations

3150 Carlisle Blvd NE
Ste 105
Albuquerque, NM 87110
Phone (505) 410-1379

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1295694651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 CARLISLE BLVD NE STE 105",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101680",
            "telephone_number": "505-663-8173",
            "fax_number": "505-672-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 CARLISLE BLVD NE STE 105",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101680",
            "telephone_number": "505-663-8173",
            "fax_number": "505-672-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMOJA BEHAVIORAL HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "MSW STUDENT INTERN",
        "authorized_official_telephone_number": "505-663-8173"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "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 Jan 20, 2026; 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.