Neurodiverse OT, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NEURODIVERSE OT, LLC

Practice address

12121 Ranchitos Rd NE
Albuquerque, NM 87122-2320

Phone

(505) 239-4097

NPI assigned

Oct 6, 2020

Organization subpart

No

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

Authorized official

Name

Sarah Marrich, MSOT, OTR/LNPI 1326597634

Title

Owner

Phone

(505) 239-4097

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Marrich, MSOT, OTR/L

  • Occupational Therapist
  • Albuquerque, NM
  • NPI 1326597634
  NPD Authorized official

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1356948988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 RANCHITOS RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222320",
            "telephone_number": "505-239-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 RANCHITOS RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222320",
            "telephone_number": "505-239-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURODIVERSE OT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "MARRICH",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-239-4097",
        "authorized_official_credential": "MSOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326597634",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Neuhart
• Rusti Neukam, PHARMD
• Christopher Adam Neumann, PH.D.
• Gregg Charles Neumann, D.O.
• Neuro Spring
• Neurohealth Group of New Mexico, P.C.
• Neurointensivists of New Mexico, LLC
• Neurology Specialists of Albuquerque, LLC
• Neuromental Health Services, Inc
• Neuroo Counseling LLC

• Community/Behavioral Health Agency in Albuquerque, NM
• Providers in Albuquerque, 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 Oct 6, 2020; 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.