Newpath Behavioral Rehabilitation Center

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

23403 Issued in CO

Legal business name

NEWPATH BEHAVIORAL REHABILITATION CENTER

Practice address

128 S Union Ave
Suite C
Pueblo, CO 81003-3443

Phone

(719) 543-6988

Fax

(719) 542-1290

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Salvador Cruz, MD

Title

Physician

Phone

(719) 543-6988

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1740409812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 568",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810020568",
            "telephone_number": "719-296-5840",
            "fax_number": "719-542-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S UNION AVE",
            "address_2": "SUITE C",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033443",
            "telephone_number": "719-543-6988",
            "fax_number": "719-542-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPATH BEHAVIORAL REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "SALVADOR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "719-543-6988",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "23403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "CR19308",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01234038",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DB7127",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Lynne Nevole, ATC
• Julie A Newburg, M.D.
• Ann Michele Newman, LCSW
• Linda S Newman, CMT, LMT, NMT
• Tessa Emerald Newman, D.O.
• Lindsay Newton
• Anh-Thu Qui Nguyen, M.D.
• Victoria Nguyen
• Tracey Renee Nicholls, L.AC
• Joshua Nichting, MD

• Psychiatry Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.