Fox Therapy Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

I-05588 Issued in NM

Legal business name

FOX THERAPY INC.

Practice address

3212 Monte Vista Blvd NE
Albuquerque, NM 87106-2120

Phone

(505) 266-0388

Fax

(505) 268-1063

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Nathan Fox, LISWNPI 1710041264

Title

President

Phone

(505) 266-0388

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan Fox, LISW

  • Clinical Social Worker
  • Albuquerque, NM
  • NPI 1710041264
  Medicare reassignment NPD Authorized official
• Amanda Krystal Lopez, DC

  • Chiropractor
  • Albuquerque, NM
  • NPI 1417488495
  NPD
• Jill L Ryan, PH.D.

  • Psychologist
  • Albuquerque, NM
  • NPI 1184939027
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1669536124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 9TH ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023026",
            "telephone_number": "505-266-0388",
            "fax_number": "505-268-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 MONTE VISTA BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062120",
            "telephone_number": "505-266-0388",
            "fax_number": "505-268-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOX THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-266-0388",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "I-05588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33031738",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hope Cecelia Fowler
• Joseph Huelsman Fowler, LMT
• Melanie Cottier Fowler, NP
• Melvin Fowler
• Fox Rehabilitation Services NM LLC
• Marci Fox-Bonilla, LMHC
• Elisabeth H Fox-Hay, FNP
• Adrienne Marie Fox, CPSW
• Auriana Fox, MS CFY SLP
• Carrie Jo Fox, RDH

• 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 Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.