Active NPI
Unm-PC
- Adult Mental Health Clinic/Center
- Albuquerque, NM
National Provider Identifier
1366814667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 261QM0850X
- Legal business name
- UNM-PC
- Doing business as
- University of NM hospitals Psychiatric Center
- Practice address
- 2600 Marble Ave NE
Albuquerque, NM 87106-2058 - Phone
- (505) 272-0271
- Fax
- (505) 272-4563
- NPI assigned
- Oct 26, 2015
- Organization subpart
- Yes
- Parent organization
- UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Annette J. Licht, RN
- Title
- Registered Nurse
- Phone
- (505) 272-0271
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 261QM0850X | NM | Primary |
Addresses
Primary practice location
2600 Marble Ave NE
Albuquerque, NM 87106-2058
Mailing address
2600 Marble Ave NE
Albuquerque, NM 87106-2058
Phone (505) 272-0271
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32-S001 | Other | NM | MEDICARE |
| 00067 | Medicaid | NM |
Other names 1
- University of NM hospitals Psychiatric Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445817600000",
"number": "1366814667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 MARBLE AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871062058",
"telephone_number": "505-272-0271",
"fax_number": "505-272-4623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 MARBLE AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871062058",
"telephone_number": "505-272-0271",
"fax_number": "505-272-4563"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNM-PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER",
"enumeration_date": "2015-10-26",
"last_updated": "2015-10-26",
"status": "A",
"authorized_official_last_name": "LICHT",
"authorized_official_first_name": "ANNETTE",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "REGISTERED NURSE",
"authorized_official_telephone_number": "505-272-0271",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NM",
"license": "261QM0850X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "32-S001",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00067",
"state": "NM"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "University of NM hospitals Psychiatric Center",
"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 Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.