Organization Active NPI

Community Against Violence

  • Adolescent and Children Mental Health Clinic/Center
  • Taos, NM
National Provider Identifier
1801093562
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
COMMUNITY AGAINST VIOLENCE
Practice address
945 Salazar Road
Taos, NM 87571
Phone
(505) 758-8082
Fax
(505) 758-4051
NPI assigned
Jun 27, 2007
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
Malinda Dunnam
Title
Executive Director
Phone
(505) 758-8082

Specialties & licenses 1

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

Addresses

Primary practice location

945 Salazar Road
Taos, NM 87571

Mailing address

PO Box 169
Taos, NM 87571-0169
Phone (505) 758-8082

Other names 1

  • Taos Children's Saferoom Other name

National Provider Directory

National Provider Directory

Locations

945 Salazar Rd
Taos, NM 87571
Phone (505) 758-8082

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801093562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 169",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875710169",
            "telephone_number": "505-758-8082",
            "fax_number": "505-758-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 SALAZAR ROAD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "87571",
            "telephone_number": "505-758-8082",
            "fax_number": "505-758-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY AGAINST VIOLENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNNAM",
        "authorized_official_first_name": "MALINDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-758-8082"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taos Children's Saferoom",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Taos, 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.