Mandala Group Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2010081 Issued in NM

Legal business name

MANDALA GROUP INC.

Practice address

19478 Highway 314
Belen, NM 87002-8223

Phone

(505) 859-0814

NPI assigned

Dec 30, 2013

Organization subpart

No

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

Authorized official

Name

Barbara J Smith, LSWNPI 1023222635

Title

Owner

Phone

(505) 859-0814

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 2

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

• Barbara Jeanne Smith, LISW

  • Clinical Social Worker
  • Belen, NM
  • NPI 1023222635
  Medicare reassignment NPD Authorized official
• Denai Lynn Forrest, DNP APRN-CNP PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Belen, NM
  • NPI 1447734165
  NPD

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1376964841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 323",
            "city": "JARALES",
            "state": "NM",
            "postal_code": "870230323",
            "telephone_number": "505-859-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19478 HIGHWAY 314",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870028223",
            "telephone_number": "505-859-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDALA GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-30",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-859-0814",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "2010081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70638",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• M&M Respiratory Services
• Richard Madden, MD
• Carolina Irene Cassandra Maes
• Rachel Y Maestas, PT, DPT
• Chrystal Mahan
• Robert Maranan
• Brittany Marquez
• Maria L Mascarenas
• Sandra Mata
• Alex Matcham, CCSS

• Clinical Social Worker in Belen, NM
• Providers in Belen, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.