New Mexico Dream Center of Albuquerque

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

NEW MEXICO DREAM CENTER OF ALBUQUERQUE

Practice address

126 General Chennault St NE
Albuquerque, NM 87123-2515

Phone

(505) 900-3833

Fax

(505) 212-6422

NPI assigned

Sep 20, 2022

Organization subpart

No

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

Authorized official

Name

Shelley Repp

Title

Ceo

Phone

(505) 217-5060

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 2

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

• Kennedy Haverland, LCSW

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1053009464
  NPD
• Jessica Orr

  • Case Manager/Care Coordinator
  • Albuquerque, NM
  • NPI 1235979188
  NPD

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1477276046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 GENERAL CHENNAULT ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871232515",
            "telephone_number": "505-900-3833",
            "fax_number": "505-212-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 GENERAL CHENNAULT ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871232515",
            "telephone_number": "505-900-3833",
            "fax_number": "505-212-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO DREAM CENTER OF ALBUQUERQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "REPP",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-217-5060"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023164498",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "nmdreamcenter.emrbear.com",
            "affiliation": "N",
            "endpointDescription": "EMR-Bear is a web-based electronic health record service specifically designed for behavioral health organizations.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "126 General Chennault St NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871232515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Behavioral Health Agency in Albuquerque, NM
• Providers in Albuquerque, 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 Feb 13, 2025; 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.