NPIMap

Organization Active NPI

Southwest Neuropsychology & Behavioral Health

  • Social Worker
  • Albuquerque, NM
National Provider Identifier
1487104402
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I-07571 Issued in NM
Legal business name
SOUTHWEST NEUROPSYCHOLOGY & BEHAVIORAL HEALTH
Practice address
320 Gold Ave SW Ste 1001
Albuquerque, NM 87102-3228
Phone
(505) 247-4900
NPI assigned
Oct 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Authorized official

Name
Kimberly Edwards
Title
Office Manager
Phone
(505) 247-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X I-07571 NM Primary

Addresses

Primary practice location

320 Gold Ave SW Ste 1001
Albuquerque, NM 87102-3228

Mailing address

320 Gold Ave SW Ste 101
Albuquerque, NM 87102-3202
Phone (505) 247-4900

National Provider Directory

National Provider Directory
Tax ID family
Southwest Neuropsychology and Behavioral Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

320 Gold Ave SW
Ste 1001
Albuquerque, NM 87102
Phone (505) 247-4900

320 Gold Ave SW
Ste 101
Albuquerque, NM 87102

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1487104402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 GOLD AVE SW STE 101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023202",
            "telephone_number": "505-247-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 GOLD AVE SW STE 1001",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023228",
            "telephone_number": "505-247-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST NEUROPSYCHOLOGY & BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-247-4900"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NM",
            "license": "I-07571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 13, 2016; 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.