Streetwise Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

600153 Issued in NM

Legal business name

STREETWISE INC

Practice address

4312 Carlisle Blvd NE
Albuquerque, NM 87107-4811

Phone

(505) 323-3785

Fax

(505) 323-3850

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Phyllis Marquez

Title

Executive Director

Phone

(505) 323-3785

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649315102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 CARLISLE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074811",
            "telephone_number": "505-323-3785",
            "fax_number": "505-323-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 CARLISLE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074811",
            "telephone_number": "505-323-3785",
            "fax_number": "505-323-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREETWISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-323-3785"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "600153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NM600153",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Marie Stratman, DPT
• Amanda Stratmoen, NP
• Emma Kathryn Stratmoen, MAT, LAT, ATC
• Jocelyn Corinne Strauss, LMHC
• Marlo Forrest Strawitz, O.T.
• Keisha Streetz
• Sarah Streng, OT
• Kimberly Marie Streu, CFNP
• George O. Stribling, D.C.
• Brittany Jacklyn Strickland

• Community/Behavioral Health Agency in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.