Simran Center for Health & Psychology

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPCC 1093 Issued in NM

Legal business name

SIMRAN CENTER FOR HEALTH & PSYCHOLOGY

Practice address

27 Shady LN
Espanola, NM 87532-9633

Phone

(505) 753-4692

NPI assigned

Nov 7, 2012

Last updated

Nov 7, 2012By 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

Dr. Shanti Shanti Kaur Khalsa, PHD

Title

Clinical Director

Phone

(505) 753-4692

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352246400000",
    "number": "1386998730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SHADY LN",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875329633",
            "telephone_number": "505-753-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 SHADY LN",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875329633",
            "telephone_number": "505-753-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMRAN CENTER FOR HEALTH & PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2012-11-07",
        "status": "A",
        "authorized_official_last_name": "KHALSA",
        "authorized_official_first_name": "SHANTI SHANTI",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "505-753-4692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFC 28201",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "LPCC 1093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patty Shure
• Jerilyn H Silver, MA MSW
• Silverstone Healthcare of Espanola Valley, LLC (Espanola Valley Nursing & Rehab)
• Tess Simmons, D.D.S.
• Pamela Simpson
• Del D Skinner, RDH
• Nasheen Sleuth, LPCC
• William Allan Smith
• Sorinity Support Services, LLC
• Larry W Sparks, PHARMACIST

• Community/Behavioral Health Agency in Espanola, NM
• Providers in Espanola, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; 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.