Organization Active NPI

Journeys Day Program, Inc.

  • Specialist
  • Albuquerque, NM
National Provider Identifier
1770617839
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
000D0775 Issued in NM
Legal business name
JOURNEYS DAY PROGRAM, INC.
Practice address
2509 Vermont St NE Ste A2
Albuquerque, NM 87110-4600
Phone
(505) 292-0306
Fax
(505) 292-0307
NPI assigned
Mar 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rod B Maestas
Title
Cfo
Phone
(505) 292-0306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 000D0775 NM Primary

Addresses

Primary practice location

2509 Vermont St NE Ste A2
Albuquerque, NM 87110-4600

Mailing address

2509 Vermont St NE Ste A2
Albuquerque, NM 87110-4600
Phone (505) 292-0306

Other identifiers 1

IdentifierTypeStateIssuer
000D0775MedicaidNM

National Provider Directory

National Provider Directory

Locations

2509 Vermont St NE
Ste A2
Albuquerque, NM 87110
Phone (505) 266-2606

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770617839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 VERMONT ST NE STE A2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104600",
            "telephone_number": "505-292-0306",
            "fax_number": "505-292-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 VERMONT ST NE STE A2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104600",
            "telephone_number": "505-292-0306",
            "fax_number": "505-292-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEYS DAY PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAESTAS",
        "authorized_official_first_name": "ROD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "505-292-0306"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "000D0775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000D0775",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.