Organization Active NPI

New Dawn Psychiatric Services, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Espanola, NM
National Provider Identifier
1619600236
Registry record updated Sep 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
NEW DAWN PSYCHIATRIC SERVICES, LLC
Practice address
1308 N Orchard
Espanola, NM 87532-3232
Phone
(505) 927-0157
NPI assigned
Jul 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2022

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

Authorized official

Name
Tiffin Marie Zellers, DNPNPI 1205433802
Title
Owner
Phone
(505) 927-0157

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1308 N Orchard
Espanola, NM 87532-3232

Mailing address

1308 N Orchard
Espanola, NM 87532-3232
Phone (505) 927-0157

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662163200000",
    "number": "1619600236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 N ORCHARD",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875323232",
            "telephone_number": "505-927-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 N ORCHARD",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875323232",
            "telephone_number": "505-927-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DAWN PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-09-03",
        "certification_date": "2022-09-03",
        "status": "A",
        "authorized_official_last_name": "ZELLERS",
        "authorized_official_first_name": "TIFFIN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-927-0157",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Espanola, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2022; 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.