Organization Active NPI

Native American Behavioral Health Services P.C.

  • Psychiatry Physician
  • Gallup, NM
National Provider Identifier
1366712283
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Aug 21, 2024

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.