Active NPI
Sobriety House
- Substance Abuse Rehabilitation Facility
- Albuquerque, NM
National Provider Identifier
1356527162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Mark Simpson PSYD Mac Ladac
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Psychologist
- Albuquerque, NM
- NPI 1558762245
-
- Clinical Psychologist
- Albuquerque, NM
- NPI 1679974943
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.