Southwest Center for Child and Family Development, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1155 Issued in NM

Legal business name

SOUTHWEST CENTER FOR CHILD AND FAMILY DEVELOPMENT, LLC

Practice address

3250 Trinity Dr Ste D-3
Los Alamos, NM 87544-2226

Phone

(505) 412-4044

NPI assigned

Nov 21, 2016

Last updated

Nov 21, 2016By 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

Dr. Tina Goldsmith, PH.D., BCBA-DNPI 1518274182

Title

Owner, Clinical Psychologist

Phone

(505) 412-4044

Specialties & licenses 1

Addresses

Locations

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.

• Tina R Goldsmith, PH.D., BCBA-D

  • Clinical Psychologist
  • Los Alamos, NM
  • NPI 1518274182
  NPD (past) Authorized official

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1306389580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 TRINITY DR STE D-3",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442226",
            "telephone_number": "505-412-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 TRINITY DR STE D-3",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875442226",
            "telephone_number": "505-412-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST CENTER FOR CHILD AND FAMILY DEVELOPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "GOLDSMITH",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OWNER, CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "505-412-4044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., BCBA-D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "1155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Regalado Smith, PH.D.
• Nicholette Smith
• Smiths Food & Drug Centers Inc (Smiths Pharmacy #467)
• Monica J Snowden, M.D.
• Frederick H Soon, R.PH.
• Haleigh Sparks
• St. Vincent Hospital (CHRISTUS St. Vincent Health Specialists - Los Alamos)
• Jeffrey George Stadler, MA LMHP
• Starkenburg Psychological Services, LLC
• Diane Arlene Starkenburg, PSYD, MSCP

• Community/Behavioral Health Agency in Los Alamos, NM
• Providers in Los Alamos, 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 21, 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.

Verify at the official NPI Registry.