NPIMap

Organization Active NPI

PB & J Family Services, Inc.

  • Social Worker
  • Albuquerque, NM
National Provider Identifier
1629120167
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
M-05859 Issued in NM
Legal business name
PB & J FAMILY SERVICES, INC.
Practice address
1101 Lopez Rd SW
Albuquerque, NM 87105-3954
Phone
(505) 877-7060
NPI assigned
Jan 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Erin Collins
Title
Clinical Coordinator
Phone
(505) 877-7060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X M-05859 NM Primary

Addresses

Primary practice location

1101 Lopez Rd SW
Albuquerque, NM 87105-3954

Mailing address

500 Tyler Rd NE
#17
Albuquerque, NM 87113-1144

National Provider Directory

National Provider Directory
Tax ID family
PB J Family Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629120167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 TYLER RD NE",
            "address_2": "#17",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 LOPEZ RD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871053954",
            "telephone_number": "505-877-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PB & J FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CLINICAL COORDINATOR",
        "authorized_official_telephone_number": "505-877-7060"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-05859",
            "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 Aug 22, 2020; 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.