Organization Active NPI

Quantum Behavioral Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Albuquerque, NM
National Provider Identifier
1598232829
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
QUANTUM BEHAVIORAL HEALTH, LLC
Practice address
2900 Louisiana Blvd NE Ste E2
Albuquerque, NM 87110-3573
Phone
(505) 934-2251
NPI assigned
Oct 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Sterling Hale Brown, LCSWNPI 1104263375
Title
Co-Manager
Phone
(505) 934-2251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2900 Louisiana Blvd NE Ste E2
Albuquerque, NM 87110-3573

Mailing address

8004 Bridgewater PL NW
Albuquerque, NM 87120-8001
Phone (505) 934-2251

Other practice location 1

8004 Bridgewater Pl NW
Albuquerque, NM 87120-8001
Phone (505) 934-2251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190523000810 NM Part B Supplier - Clinic/Group Practice 6608119227 Receives reassigned benefits from 2 practitioners
Practice locations: Albuquerque, NE

National Provider Directory

National Provider Directory

Locations

2900 Louisiana Blvd NE
Ste A1
Albuquerque, NM 87110
Phone (505) 373-1191

2900 Louisiana Blvd NE
Ste E2
Albuquerque, NM 87110
Phone (505) 218-7778

2929 Coors Blvd NW
Ste 308
Albuquerque, NM 87120
Phone (505) 373-1191

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1598232829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8004 BRIDGEWATER PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871208001",
            "telephone_number": "505-934-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LOUISIANA BLVD NE STE E2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103573",
            "telephone_number": "505-934-2251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8004 Bridgewater Pl NW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871208001",
            "country_code": "US",
            "telephone_number": "505-934-2251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUANTUM BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "STERLING",
        "authorized_official_middle_name": "HALE",
        "authorized_official_title_or_position": "CO-MANAGER",
        "authorized_official_telephone_number": "505-934-2251",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "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 May 19, 2020; 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.