Family Time

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

M-06619 Issued in NM

Legal business name

FAMILY TIME

Practice address

19 Road 3953
Farmington, NM 87401-7990

Phone

(505) 486-9942

NPI assigned

Nov 9, 2007

Last updated

Nov 9, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Brenda K. Baker, LMSWNPI 1962677492

Title

Clinical Counselor

Phone

(505) 486-9942

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brenda K Baker, LISW

  • Clinical Social Worker
  • Farmington, NM
  • NPI 1962677492
  NPD (past) Authorized official

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1306026075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 ROAD 3953",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874017990",
            "telephone_number": "505-486-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 ROAD 3953",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874017990",
            "telephone_number": "505-486-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TIME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CLINICAL COUNSELOR",
        "authorized_official_telephone_number": "505-486-9942",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "M-06619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William J. Fahrenbach, PA-C
• Family Crisis Center Inc.
• Family First Chiropractic and Wellness Center, LLC
• Family Foot Health Specialists of Farmington, LLC
• Family Health Inc.
• Daniel J Farley, D.D.S.
• Debora Larsen Farmer, OT
• Farmington Dental Care LLC
• Farmington Drug
• Farmington Endodontics, PC

• Community/Behavioral Health Agency in Farmington, NM
• Providers in Farmington, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.