Organization Active NPI

Sobriety House

  • Substance Abuse Rehabilitation Facility
  • Albuquerque, NM
National Provider Identifier
1356527162
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SOBRIETY HOUSE
Practice address
126 General Chennault St NE
Albuquerque, NM 87123-2515
Phone
(505) 977-9180
Fax
(505) 352-0467
NPI assigned
Jan 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Dr. Mark S Simpson, PSYD
Title
Clinical Psychologist/Program Dir
Phone
(505) 977-9180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NM Primary

Addresses

Primary practice location

126 General Chennault St NE
Albuquerque, NM 87123-2515

Mailing address

126 General Chennault St NE
Albuquerque, NM 87123-2515
Phone (505) 977-9180

Other names 1

  • Mark Simpson, PsyD, MAC, LADAC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mark Simpson PSYD Mac Ladac3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

126 General Chennault St NE
Albuquerque, NM 87123
Phone (505) 332-8935

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1356527162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 GENERAL CHENNAULT ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871232515",
            "telephone_number": "505-977-9180",
            "fax_number": "505-352-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 GENERAL CHENNAULT ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871232515",
            "telephone_number": "505-977-9180",
            "fax_number": "505-352-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBRIETY HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/PROGRAM DIR",
        "authorized_official_telephone_number": "505-977-9180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark Simpson, PsyD, MAC, LADAC",
            "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 Jan 11, 2008; 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.