Andrew Gallegos, CPSW
Individual provider Active NPI Peer Specialist · Espanola, NM
NPI 1356084560 · NPPES record last updated Apr 15, 2022
Key facts
- NPI
- 1356084560
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 1000 N Paseo de Onate
Espanola, NM 87532-2683 - Phone
- (505) 983-6158
- Fax
- (505) 983-0460
- NPI assigned
- Apr 15, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Fe Mountain Center Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | NM | Yes |
Addresses
Primary practice location
1000 N Paseo de Onate
Espanola, NM 87532-2683
Mailing address
PO Box 449
Tesuque, NM 87574-0449
Phone (505) 983-6158
Other providers in Espanola, NM
- Jessica Maureen Frechette-Gutfreund
- Amanda Morgan Freeman
- Janice Fron
- Stacey Frymier
- Nathaniel Fuentes
- Tanya Gallegos
- Linda M. Garcia-Lucero
- Amos Jonas Garcia
- Brittany Garcia
- Cassie Garcia
All providers in Espanola, NM · Peer Specialist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.