Eating Disorders Treatment Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0454 Issued in NM

Legal business name

EATING DISORDERS TREATMENT CENTER

Practice address

5203 Juan Tabo Blvd NE
Suite 2a
Albuquerque, NM 87111-2683

Phone

(505) 266-6121

Fax

(505) 221-5710

NPI assigned

May 10, 2016

Organization subpart

No

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

Authorized official

Name

Katherine Paras, LPAT

Title

Art Therapist

Phone

(505) 266-6121

Specialties & licenses 1

Addresses

Tax ID family

Eating Disorders Treatment Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eating Disorders Treatment Center, LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1871881326
  NPD tax ID

Practitioners 1

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

• Holly Ann Finlay, M.A.

  • Mental Health Counselor
  • Albuquerque, NM
  • NPI 1396831319
  NPD

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1750737656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 JUAN TABO BLVD NE",
            "address_2": "SUITE 2A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112683",
            "telephone_number": "505-266-6121",
            "fax_number": "505-221-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203 JUAN TABO BLVD NE",
            "address_2": "SUITE 2A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112683",
            "telephone_number": "505-266-6121",
            "fax_number": "505-221-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATING DISORDERS TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "PARAS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "ART THERAPIST",
        "authorized_official_telephone_number": "505-266-6121",
        "authorized_official_credential": "LPAT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley Brent Eastin, ED.D.
• David Eastlund
• Paula Susan Eastman, PMHNP-BC
• Brandy Easton, LPCC
• Sharon Eastvold, SLP
• Eating Disorders Treatment Center, LLC
• Camri Alexus Eaton, RPH
• Gail G Eaton, M.S. CCC-SLP
• R. Phillip Eaton, MD
• John Craig Eaves, RPSGT

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.