NPIMap

Organization Active NPI

NM Department of Health

Doing business as Sequoyah Adolescent Treatment Center

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Albuquerque, NM
National Provider Identifier
1407990500
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
NM DEPARTMENT OF HEALTH
Doing business as
Sequoyah Adolescent Treatment Center
Practice address
3405 Pan American Fwy NE
Albuquerque, NM 87107-4786
Phone
(505) 222-0300
Fax
(505) 222-0301
NPI assigned
Feb 20, 2007
Last updated
Feb 24, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NM DEPARTMENT OF HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Ms. Merlinda Trujillo
Title
Administrator
Phone
(505) 222-0375

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X Primary
Counseling Psychologist 103TC1900X
Family Psychologist 103TF0000X
Group Psychotherapy Psychologist 103TP2701X
Prescribing (Medical) Psychologist 103TP0016X

Addresses

Primary practice location

3405 Pan American Fwy NE
Albuquerque, NM 87107-4786

Mailing address

3405 W Pan American Fwy NE
Albuquerque, NM 87107-4786
Phone (505) 222-0300

Other names 1

  • Sequoyah Adolescent Treatment Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D1000447Sequoyah Adolescent Treatment Center3405 W Pan American Freeway NE, Albuquerque, NM 87107Certificate of waiverJun 16, 2028

National Provider Directory

National Provider Directory
Tax ID family
Department of Health Public Health Division43 organizations share this tax ID, including this one
Part of
Department of Health Public Health Division

Other organizations with this tax ID 42

Organizations that report the same tax identification number in the National Provider Directory.

View all 42

Locations

3405 Pan American Fwy NE
Albuquerque, NM 87107
Phone (505) 222-0331

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1407990500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 W PAN AMERICAN FWY NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074786",
            "telephone_number": "505-222-0300",
            "fax_number": "505-222-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 PAN AMERICAN FWY NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074786",
            "telephone_number": "505-222-0300",
            "fax_number": "505-222-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NM DEPARTMENT OF HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NM DEPARTMENT OF HEALTH",
        "enumeration_date": "2007-02-20",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "MERLINDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "505-222-0375",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sequoyah Adolescent Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.