NPIMap

Organization Active NPI

Youth & Family Centered Services of NM, Inc Dba Desert Hills

  • Psychiatric Residential Treatment Facility
  • Albuquerque, NM
National Provider Identifier
1376606186
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
1014A,4406, Issued in NM
Legal business name
YOUTH & FAMILY CENTERED SERVICES OF NM, INC DBA DESERT HILLS
Practice address
5310 Sequoia Rd NW
Albuquerque, NM 87120-1249
Phone
(505) 836-7330
Fax
(505) 836-7424
NPI assigned
Dec 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Miss Carol Bickelman, LPCCNPI 1861525990
Title
Ceo
Phone
(505) 836-7330

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
Psychiatric Residential Treatment Facility 323P00000X 1014A,4406, NM Primary

Addresses

Primary practice location

5310 Sequoia Rd NW
Albuquerque, NM 87120-1249

Mailing address

5310 Sequoia Rd NW
Albuquerque, NM 87120-1249
Phone (505) 836-7330

Other identifiers 1

IdentifierTypeStateIssuer
M1556MedicaidNM

National Provider Directory

National Provider Directory

Locations

5310 Sequoia Rd NW
Albuquerque, NM 87120
Phone (505) 836-7330

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376606186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 SEQUOIA RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201249",
            "telephone_number": "505-836-7330",
            "fax_number": "505-836-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 SEQUOIA RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871201249",
            "telephone_number": "505-836-7330",
            "fax_number": "505-836-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH & FAMILY CENTERED SERVICES OF NM, INC DBA DESERT HILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BICKELMAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-836-7330",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NM",
            "license": "1014A,4406,",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M1556",
            "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.