Organization Active NPI

Autism & Early Intervention

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1629313366
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I-06152 Issued in NM
Legal business name
AUTISM & EARLY INTERVENTION
Practice address
1225 Parkway Dr
Santa Fe, NM 87507-7262
Phone
(505) 577-9515
Fax
(505) 471-4505
NPI assigned
Dec 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Zoe Migel, LISW
Title
Director/Owner
Phone
(505) 577-9515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X I-06152 NM Primary

Addresses

Primary practice location

1225 Parkway Dr
Santa Fe, NM 87507-7262

Mailing address

PO Box 8741
Santa Fe, NM 87504-8741
Phone (505) 577-9515

Other identifiers 3

IdentifierTypeStateIssuer
93704241MedicaidNM
1851525901OtherNMBCBSNM
1851525901OtherNMOPTUM

Other names 1

  • Zoe Migel Doing business as

National Provider Directory

National Provider Directory

Locations

1225 Parkway Dr
Santa Fe, NM 87507
Phone (505) 471-4505

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1629313366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8741",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875048741",
            "telephone_number": "505-577-9515",
            "fax_number": "505-471-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 PARKWAY DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875077262",
            "telephone_number": "505-577-9515",
            "fax_number": "505-471-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM & EARLY INTERVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "MIGEL",
        "authorized_official_first_name": "ZOE",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "505-577-9515",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-06152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93704241",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNM",
            "identifier": "1851525901",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM",
            "identifier": "1851525901",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zoe Migel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.