Active NPI
Native American Behavioral Health Services P.C.
- Psychiatry Physician
- Gallup, NM
National Provider Identifier
1366712283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- NATIVE AMERICAN BEHAVIORAL HEALTH SERVICES P.C.
- Practice address
- 1500 S Second St Ste a
Gallup, NM 87301-5898 - Phone
- (505) 722-2923
- Fax
- (505) 722-2961
- NPI assigned
- Jan 10, 2012
- 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. Richard K Laughter, M.D.
- Title
- President
- Phone
- (505) 879-6575
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary | ||
| Psychiatric Hospital | 283Q00000X | MD2008-0055 | NM | |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | MD2008-0055 | NM | |
| Substance Abuse Rehabilitation Facility | 324500000X | 11959 | NV |
Addresses
Primary practice location
1500 S Second St Ste a
Gallup, NM 87301-5898
Mailing address
1500 S Second St Ste a
Gallup, NM 87301-5898
Phone (505) 722-2923
Other practice location 1
3300 Box Canyon Ave
Gallup, NM 87301-6940
Phone (505) 879-6575
National Provider Directory
National Provider DirectoryLocations
411 W Santa Fe Ave
Grants, NM 87020
Phone (505) 290-7178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724198400000",
"number": "1366712283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 S SECOND ST STE A",
"city": "GALLUP",
"state": "NM",
"postal_code": "873015898",
"telephone_number": "505-722-2923",
"fax_number": "505-722-2961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 S SECOND ST STE A",
"city": "GALLUP",
"state": "NM",
"postal_code": "873015898",
"telephone_number": "505-722-2923",
"fax_number": "505-722-2961"
}
],
"practiceLocations": [
{
"address_1": "3300 Box Canyon Ave",
"address_purpose": "LOCATION",
"city": "Gallup",
"state": "NM",
"postal_code": "873016940",
"country_code": "US",
"telephone_number": "505-879-6575",
"fax_number": "505-722-2961",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NATIVE AMERICAN BEHAVIORAL HEALTH SERVICES P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-10",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A",
"authorized_official_last_name": "LAUGHTER",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "505-879-6575",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "NM",
"license": "MD2008-0055",
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NM",
"license": "MD2008-0055",
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "NV",
"license": "11959",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gallup, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.