Digital Care Team of NM LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DIGITAL CARE TEAM OF NM LLC

Practice address

1836B Cerrillos Rd # 1a
Santa Fe, NM 87505-3576

Phone

(773) 817-5928

NPI assigned

Jan 9, 2023

Organization subpart

No

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

Authorized official

Name

Wajahatuddin Macci

Title

Cfo

Phone

(773) 817-5928

Specialties & licenses 5

Addresses

Other names 1

• 247 DCT Doing business as

Locations

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1669186177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 N WOOD DALE RD # 201A",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601911578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836B CERRILLOS RD # 1A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053576",
            "telephone_number": "773-817-5928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGITAL CARE TEAM OF NM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "MACCI",
        "authorized_official_first_name": "WAJAHATUDDIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "773-817-5928"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "247 DCT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "247 DCT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Anne Dickey, L.P.C.
• Jane Dickinson, NCSP
• Carol Dieckmann, LPCC
• Brian Russell Diedrich, CNP
• Michelle Diggs
• Stephanie Dilorio, LMHC
• Gina Dimaculangan
• Marguerite Dimas, MS LPCC LADAC
• Iqra Dinath, CPSW
• Serra Raquel Dittel, LMSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.