Organization Active NPI

Calyx Institute LLC

  • Clinical Social Worker
  • Albuquerque, NM
National Provider Identifier
1306365929
Registry record updated Dec 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CALYX INSTITUTE LLC
Practice address
10701 Lomas Blvd NE, Ste. 101
Albuquerque, NM 87112
Phone
(505) 379-3654
NPI assigned
Sep 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2018

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

Authorized official

Name
Angela TrueNPI 1942405832
Title
Executive Director
Phone
(505) 652-7065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

10701 Lomas Blvd NE, Ste. 101
Albuquerque, NM 87112

Mailing address

PO Box 1194
Tijeras, NM 87059-1194
Phone (505) 652-7065

Other identifiers 1

IdentifierTypeStateIssuer
33188301MedicaidNM

Other names 1

  • The Calyx Institute Doing business as

National Provider Directory

National Provider Directory

Locations

10701 Lomas Blvd NE
Ste 101
Albuquerque, NM 87112
Phone (505) 379-3654

Practitioners & affiliated clinicians

Practitioners 1

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": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544227200000",
    "number": "1306365929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1194",
            "city": "TIJERAS",
            "state": "NM",
            "postal_code": "870591194",
            "telephone_number": "505-652-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 LOMAS BLVD NE, STE. 101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87112",
            "telephone_number": "505-379-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALYX INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-14",
        "last_updated": "2018-12-08",
        "status": "A",
        "authorized_official_last_name": "TRUE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-652-7065"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33188301",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Calyx Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 8, 2018; 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.