Pivotal Treatment Group, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0152101 Issued in NM

Legal business name

PIVOTAL TREATMENT GROUP, LLC

Practice address

2549 Twin Buttes Dr NE
Rio Rancho, NM 87144-6742

Phone

(505) 796-2095

NPI assigned

Aug 31, 2016

Last updated

Aug 31, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martine Lopez-Bowers, LPCC

Title

Owner

Phone

(505) 796-2095

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martine T Lopez, LPCC

  • Mental Health Counselor
  • Rio Rancho, NM
  • NPI 1457592255
  NPD (past)

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1699221366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2549 TWIN BUTTES DR NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871446742",
            "telephone_number": "505-796-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2549 TWIN BUTTES DR NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871446742",
            "telephone_number": "505-796-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOTAL TREATMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "LOPEZ-BOWERS",
        "authorized_official_first_name": "MARTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-796-2095",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0152101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassidy Pino
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• Pinwheel Healing Center, LLC (Margaret Suehr LPCC)
• Pit to Peak Physical Therapy LLC
• David Pittman, LMSW
• Jennifer Lynne Planitz, O.D.
• Tatiana Karina Pleil-Pino, PHARMD
• Alisha Plummer, PA
• April Polichette, RN
• Jaime Poling

• Community/Behavioral Health Agency in Rio Rancho, NM
• Providers in Rio Rancho, 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 Aug 31, 2016; 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.