The Oak Bower, LLC

Primary specialty

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

Legal business name

THE OAK BOWER, LLC

Practice address

1201 Eubank Blvd NE Ste 1
Albuquerque, NM 87112

Phone

(505) 503-1959

Fax

(505) 369-1851

NPI assigned

Feb 5, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Amber Deon McEachern, PHDNPI 1497784292

Title

Clinical Psychologist, Owner

Phone

(505) 503-1959

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

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

• Amber Deon McEachern, PHD

  • Psychologist
  • Albuquerque, NM
  • NPI 1497784292
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1679072672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 EUBANK BLVD NE STE 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125300",
            "telephone_number": "505-503-1959",
            "fax_number": "505-369-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 EUBANK BLVD NE STE 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87112",
            "telephone_number": "505-503-1959",
            "fax_number": "505-369-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OAK BOWER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-05",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "MCEACHERN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "DEON",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST, OWNER",
        "authorized_official_telephone_number": "505-503-1959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58883304",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Albuquerque, NM
• Providers in Albuquerque, 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 Jun 19, 2018; 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.