NPIMap

Organization Active NPI

The Peak at Santa Teresa, Inc.

  • Foster Care Agency
  • Roswell, NM
National Provider Identifier
1740315514
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
NO NUMBER Issued in NM
Legal business name
THE PEAK AT SANTA TERESA, INC.
Practice address
4202 W McGaffey St
Roswell, NM 88203-9384
Phone
(575) 623-6749
Fax
(575) 623-1322
NPI assigned
Feb 22, 2007
Organization subpart
Yes
Parent organization
THE PEAK AT SANTA TERESA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Authorized official

Name
Melissa Keyser
Title
President
Phone
(575) 361-3333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NM
Foster Care Agency 253J00000X NO NUMBER NM Primary

Addresses

Primary practice location

4202 W McGaffey St
Roswell, NM 88203-9384

Mailing address

PO Box 2211
Carlsbad, NM 88221-2211
Phone (575) 361-3333

Other identifiers 4

IdentifierTypeStateIssuer
K9392MedicaidNM
219MedicaidNM
218MedicaidNM
M1696MedicaidNM

Other names 1

  • THE PEAK TREATMENT FOSTER CARE Doing business as

National Provider Directory

National Provider Directory
Part of
The Peak at Santa Teresa Inc

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1740315514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2211",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882212211",
            "telephone_number": "575-361-3333",
            "fax_number": "575-885-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 W MCGAFFEY ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882039384",
            "telephone_number": "575-623-6749",
            "fax_number": "575-623-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PEAK AT SANTA TERESA, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE PEAK AT SANTA TERESA INC",
        "enumeration_date": "2007-02-22",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "KEYSER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-361-3333"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NM",
            "license": "NO NUMBER",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K9392",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "219",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M1696",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE PEAK TREATMENT FOSTER CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.