NPIMap

Organization Active NPI

Forensic Behavioral Health Associates

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1376577221
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
08028036 Issued in NM
Legal business name
FORENSIC BEHAVIORAL HEALTH ASSOCIATES
Practice address
10409 Montgomery Pkwy NE
West NE. Suite 102
Albuquerque, NM 87111-3852
Phone
(505) 888-5499
Fax
(505) 888-5498
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Troy J. Rodgers, PSY.D. LPCCNPI 1801931225
Title
Agency Director
Phone
(505) 888-5499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 08028036 NM Primary

Addresses

Primary practice location

10409 Montgomery Pkwy NE
West NE. Suite 102
Albuquerque, NM 87111-3852

Mailing address

10409 Montgomery Parkway West NE
Suite 102
Albuquerque, NM 87199-2002
Phone (505) 888-5499

Other identifiers 1

IdentifierTypeStateIssuer
08028036MedicaidNM

National Provider Directory

National Provider Directory

Locations

10409 Montgomery Pkwy NE
Ste 102
Albuquerque, NM 87111
Phone (505) 888-5499

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376577221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10409 MONTGOMERY PARKWAY WEST NE",
            "address_2": "SUITE 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871992002",
            "telephone_number": "505-888-5499",
            "fax_number": "505-888-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10409 MONTGOMERY PKWY NE",
            "address_2": "WEST NE. SUITE 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113852",
            "telephone_number": "505-888-5499",
            "fax_number": "505-888-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORENSIC BEHAVIORAL HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODGERS",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "505-888-5499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D. LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "08028036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08028036",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 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.