NPIMap

Organization Active NPI

Pueblo of Acoma

Doing business as Acoma Behavioral Health Services

  • Community/Behavioral Health Agency
  • Pueblo of Acoma, NM
National Provider Identifier
1619323565
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PUEBLO OF ACOMA
Doing business as
Acoma Behavioral Health Services
Practice address
45 Pinsbaari Dr.
Pueblo of Acoma, NM 87034-0328
Phone
(505) 552-6661
Fax
(505) 552-6426
NPI assigned
May 10, 2016
Last updated
Jun 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Authorized official

Name
Michael Pahos, LCSW, LADAC
Title
Lead Clinician, BHS
Phone
(505) 552-6661

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

45 Pinsbaari Dr.
Pueblo of Acoma, NM 87034-0328

Mailing address

PO Box 328
Acoma, NM 87034-0328
Phone (505) 552-6661

Other names 1

  • Acoma Behavioral Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pueblo of Acoma2 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.

  • Pueblo of Acoma

    dba Acoma Behavioral Health Services

    • Community/Behavioral Health Agency
    • Acoma, NM
    • NPI 1710343942
    NPD tax ID

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465430400000",
    "number": "1619323565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "ACOMA",
            "state": "NM",
            "postal_code": "870340328",
            "telephone_number": "505-552-6661",
            "fax_number": "505-552-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PINSBAARI DR.",
            "city": "PUEBLO OF ACOMA",
            "state": "NM",
            "postal_code": "870340328",
            "telephone_number": "505-552-6661",
            "fax_number": "505-552-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEBLO OF ACOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-06-09",
        "status": "A",
        "authorized_official_last_name": "PAHOS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "LEAD CLINICIAN, BHS",
        "authorized_official_telephone_number": "505-552-6661",
        "authorized_official_credential": "LCSW, LADAC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acoma Behavioral Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pueblo of Acoma, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.