NPIMap

Organization Active NPI

Amanecer Psychological Services, P.C.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • El Paso, TX
National Provider Identifier
1346402070
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
3550-3555 Issued in TX
Legal business name
AMANECER PSYCHOLOGICAL SERVICES, P.C.
Practice address
1219 Barranca Dr
Ste a and B
El Paso, TX 79935-4601
Phone
(915) 779-5600
Fax
(915) 779-5605
NPI assigned
Jun 25, 2008
Last updated
Sep 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Rodolfo Basurto, PHD
Title
President
Phone
(915) 779-5600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 3550-3555 TX Primary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X 3550-3555 TX

Addresses

Primary practice location

1219 Barranca Dr
Ste a and B
El Paso, TX 79935-4601

Mailing address

1219 Barranca Dr
Ste a and B
El Paso, TX 79935-4601
Phone (915) 779-5600

National Provider Directory

National Provider Directory
Tax ID family
Amanecer Psychological Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

1219 Barranca Dr
#A
El Paso, TX 79935
Phone (915) 213-5457

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1346402070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 BARRANCA DR",
            "address_2": "STE A AND B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354601",
            "telephone_number": "915-779-5600",
            "fax_number": "915-779-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 BARRANCA DR",
            "address_2": "STE A AND B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354601",
            "telephone_number": "915-779-5600",
            "fax_number": "915-779-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANECER PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "BASURTO",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-779-5600",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": "3550-3555",
            "primary": true
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "TX",
            "license": "3550-3555",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.