NPIMap

Organization Active NPI

Totah Behavioral Health Authority

  • Case Management Agency
  • Farmington, NM
National Provider Identifier
1740659804
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
115889273 Issued in NM
Legal business name
TOTAH BEHAVIORAL HEALTH AUTHORITY
Practice address
1615 Ojo Court
Farmington, NM 87401
Phone
(505) 564-4804
Fax
(505) 564-4857
NPI assigned
Sep 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Uriah Dixon SimpsonNPI 1235500604
Title
Community Support Worker
Phone
(505) 564-4804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 115889273 NM Primary

Addresses

Primary practice location

1615 Ojo Court
Farmington, NM 87401

Mailing address

PO Box 5190
Farmington, NM 87499-5190
Phone (505) 564-4804

Other identifiers 1

IdentifierTypeStateIssuer
115889273OtherNMCOMMUNITY SUPPORT WORKER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1740659804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5190",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874995190",
            "telephone_number": "505-564-4804",
            "fax_number": "505-564-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 OJO COURT",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-564-4804",
            "fax_number": "505-564-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAH BEHAVIORAL HEALTH AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "URIAH",
        "authorized_official_middle_name": "DIXON",
        "authorized_official_title_or_position": "COMMUNITY SUPPORT WORKER",
        "authorized_official_telephone_number": "505-564-4804"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NM",
            "license": "115889273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY SUPPORT WORKER",
            "identifier": "115889273",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.