Organization Active NPI

Child & Family Wellness

  • Adolescent and Children Mental Health Clinic/Center
  • Farmington, NM
National Provider Identifier
1750540480
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
96388 Issued in NM
Legal business name
CHILD & FAMILY WELLNESS
Practice address
1601 E 20TH St
Farmington, NM 87401-4307
Phone
(505) 793-5547
NPI assigned
Jun 6, 2008
Last updated
Jul 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Karen Raburn, MD
Title
Owner
Phone
(505) 793-5547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 96388 NM Primary

Addresses

Primary practice location

1601 E 20TH St
Farmington, NM 87401-4307

Mailing address

1601 E 20TH St
Farmington, NM 87401-4307
Phone (505) 793-5547

Other identifiers 1

IdentifierTypeStateIssuer
1881726388OtherNMSINGLE PROVIDER NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1750540480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E 20TH ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874014307",
            "telephone_number": "505-793-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 20TH ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874014307",
            "telephone_number": "505-793-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD & FAMILY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "RABURN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-793-5547",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NM",
            "license": "96388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SINGLE PROVIDER NPI",
            "identifier": "1881726388",
            "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 Jul 1, 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.