Organization Active NPI

Native American Behavioral Health Services

  • Psychiatric Residential Treatment Facility
  • Gallup, NM
National Provider Identifier
1629326673
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
1200002447 Issued in NM
Legal business name
NATIVE AMERICAN BEHAVIORAL HEALTH SERVICES
Practice address
1500 S Second St
Suite a
Gallup, NM 87301-5862
Phone
(505) 879-0723
NPI assigned
Aug 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Authorized official

Name
Ms. Haley Laughter
Title
Financial Manager
Phone
(505) 879-0723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 1200002447 NM Primary

Addresses

Primary practice location

1500 S Second St
Suite a
Gallup, NM 87301-5862

Mailing address

1500 S Second St
Suite a
Gallup, NM 87301-5862
Phone (505) 879-0723

National Provider Directory

National Provider Directory

Locations

1500 S Second St
Ste A
Gallup, NM 87301
Phone (505) 722-2923

NPI Registry JSON

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1629326673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S SECOND ST",
            "address_2": "SUITE A",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015862",
            "telephone_number": "505-879-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S SECOND ST",
            "address_2": "SUITE A",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873015862",
            "telephone_number": "505-879-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVE AMERICAN BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "LAUGHTER",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "505-879-0723",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NM",
            "license": "1200002447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallup, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.