Haven Behavioral Services of Albuquerque LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

HAVEN BEHAVIORAL SERVICES OF ALBUQUERQUE LLC

Doing business as

Haven Albuquerque Provider Group

Practice address

5400 Gibson Blvd. SE
4TH Floor
Albuquerque, NM 87108-4763

Phone

(505) 254-4500

Fax

(505) 266-0838

NPI assigned

Feb 10, 2015

Last updated

Jan 19, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

HAVEN BEHAVIORAL HEALTHCARE INCAs reported in NPPES

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

Authorized official

Name

Janie Pickle

Title

VP/Comptroller

Phone

(615) 393-8809

Specialties & licenses 2

Addresses

Other names 1

• Haven Albuquerque Provider Group Doing business as

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516320000000",
    "number": "1538550702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 WEST END AVENUE",
            "address_2": "SUITE 1000",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031324",
            "telephone_number": "615-393-8800",
            "fax_number": "615-393-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 GIBSON BLVD. SE",
            "address_2": "4TH FLOOR",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871084763",
            "telephone_number": "505-254-4500",
            "fax_number": "505-266-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN BEHAVIORAL SERVICES OF ALBUQUERQUE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAVEN BEHAVIORAL HEALTHCARE INC",
        "enumeration_date": "2015-02-10",
        "last_updated": "2018-01-19",
        "status": "A",
        "authorized_official_last_name": "PICKLE",
        "authorized_official_first_name": "JANIE",
        "authorized_official_title_or_position": "VP/COMPTROLLER",
        "authorized_official_telephone_number": "615-393-8809"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Albuquerque Provider Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Christine Haupt, FNP-C
• Leslie Diane Haupt
• Laurel Ann Hause, LPCC
• Karri Hauser, MMT
• Mark Hauswald, MD
• Haven Behavioral Services of Albuquerque, LLC (Haven Behavioral Hospital of Albuquerque)
• Haven Counseling
• Haven New Mexico LLC
• Haven Senior Holdings LLC (Haven Care)
• Mackenna Havenor

• Psychiatry Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Psychiatry Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2018; 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.