Dismas House NM Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

DISMAS HOUSE NM INC.

Practice address

701 Candelaria Rd NW
Albuquerque, NM 87107-2407

Phone

(505) 343-0746

Fax

(505) 345-4513

NPI assigned

Jun 8, 2009

Last updated

Jun 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rusty Smith, REVEREND

Title

Executive Director

Phone

(505) 343-0746

Specialties & licenses 1

Addresses

Practitioners 4

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.

• Ryan Delaware

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1104247956
  NPD (past)
• Melissa Raimondi, LMSW

  • School Social Worker
  • Albuquerque, NM
  • NPI 1366808321
  NPD (past)
• Claudia Timmons, CFAS, CCJAS, CDVC

  • Addiction (Substance Use Disorder) Counselor
  • Albuquerque, NM
  • NPI 1235560319
  NPD (past)
• Rachel B Potter, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1306274311
  NPD (past)

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1386870137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871976101",
            "telephone_number": "505-343-0746",
            "fax_number": "505-345-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CANDELARIA RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072407",
            "telephone_number": "505-343-0746",
            "fax_number": "505-345-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISMAS HOUSE NM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RUSTY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-343-0746",
        "authorized_official_credential": "REVEREND"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Discovering Greatness, LLC
• Disease Management Clinic (Sandia National Laboratories)
• Marie Disho Andrada, PHARM D
• Mary Lindgren Dishongh, D.O.M.
• Dismas House
• Patricia Heather Diswood, DENTAL HYGIENIST
• Julianne Marie Ditto, OT
• Nicoletta Divasto, CPSW
• Mukul Kiran Divatia, MD
• Divergent Perspectives LLC

• Substance Abuse Rehabilitation Facility in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Substance Abuse Rehabilitation Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.