NPIMap

Organization Active NPI

Child and Family Wellness, PC

  • Adolescent and Children Mental Health Clinic/Center
  • Tucumcari, NM
National Provider Identifier
1801207105
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
96-388 Issued in NM
Legal business name
CHILD AND FAMILY WELLNESS, PC
Practice address
102 E High St
Tucumcari, NM 88401-2726
Phone
(575) 461-6200
Fax
(575) 461-0404
NPI assigned
May 8, 2014
Last updated
May 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Authorized official

Name
Dr. Karen Raburn, MDNPI 1881726388
Title
Owner
Phone
(575) 461-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 96-388 NM Primary

Addresses

Primary practice location

102 E High St
Tucumcari, NM 88401-2726

Mailing address

102 E High St
Tucumcari, NM 88401-2726
Phone (575) 461-6200

Other identifiers 1

IdentifierTypeStateIssuer
1881726388OtherOWNER NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1801207105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E HIGH ST",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884012726",
            "telephone_number": "575-461-6200",
            "fax_number": "575-461-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E HIGH ST",
            "city": "TUCUMCARI",
            "state": "NM",
            "postal_code": "884012726",
            "telephone_number": "575-461-6200",
            "fax_number": "575-461-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD AND FAMILY WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "RABURN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-461-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NM",
            "license": "96-388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWNER NPI",
            "identifier": "1881726388",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucumcari, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.