Our Imaginal World, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OUR IMAGINAL WORLD, LLC

Practice address

245 Rosario Blvd Apt C
Santa Fe, NM 87501-1373

Phone

(917) 626-5360

NPI assigned

Apr 8, 2022

Organization subpart

No

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

Authorized official

Name

Magdalena Karlick, ATR-BC, LPCCNPI 1326276288

Title

Director

Phone

(917) 626-5360

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 1

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.

• Magdalena Karlick, ATR-BC, LPCC

  • Counselor
  • Santa Fe, NM
  • NPI 1326276288
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1528700770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 ROSARIO BLVD APT C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011373",
            "telephone_number": "917-626-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 ROSARIO BLVD APT C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011373",
            "telephone_number": "917-626-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR IMAGINAL WORLD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "KARLICK",
        "authorized_official_first_name": "MAGDALENA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "917-626-5360",
        "authorized_official_credential": "ATR-BC, LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326276288",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremiah B Otero, HAD
• Jorge E Oti, DDS
• Reed Macwilliam Otten, M.D.
• Howard M. Ottenheimer, PH.D.
• Zach Zhishuo Ou, MD
• Luz De Ovalle, RN
• Preston Juliette Owen
• Candice Owens
• Sara Ruth Owens, PH.D.
• Julieta Ozan

• Community/Behavioral Health Agency in Santa Fe, NM
• Providers in Santa Fe, 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 Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.