NPIMap

Organization Active NPI

Heartspace New Mexico LLC

  • Community/Behavioral Health Agency
  • Santa Fe, NM
National Provider Identifier
1780430181
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HEARTSPACE NEW MEXICO LLC
Practice address
14 Millers End
Santa Fe, NM 87508-9405
Phone
(214) 676-3879
Fax
(214) 292-9313
NPI assigned
Apr 26, 2024
Last updated
Nov 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Authorized official

Name
Shari H Scott, PMHNP-BCNPI 1043306590
Title
Member
Phone
(214) 676-3879

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

14 Millers End
Santa Fe, NM 87508-9405

Mailing address

14 Millers End
Santa Fe, NM 87508-9405
Phone (214) 676-3879

National Provider Directory

National Provider Directory

Locations

1421 Luisa St
Ste P
Santa Fe, NM 87505
Phone (505) 395-6483

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1780430181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MILLERS END",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875089405",
            "telephone_number": "214-676-3879",
            "fax_number": "214-292-9313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MILLERS END",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875089405",
            "telephone_number": "214-676-3879",
            "fax_number": "214-292-9313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTSPACE NEW MEXICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "214-676-3879",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.