Disability Services Incorporated

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DISABILITY SERVICES INCORPORATED

Practice address

503 Williams St
BLDG. #16
Gallup, NM 87301-4799

Phone

(505) 722-4383

Fax

(505) 722-2191

NPI assigned

Jan 13, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Ellen I Lacayo

Title

Executive Director

Phone

(505) 722-4383

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• McKinley Opportunity & Resource Enterprises Former legal business name

Locations

Practitioners 1

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

• Fotini Yantsios, PT

  • Physical Therapist
  • Gallup, NM
  • NPI 1801003868
  NPD (past)

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811048390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1296",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873051296",
            "telephone_number": "505-722-4383",
            "fax_number": "505-722-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 WILLIAMS ST",
            "address_2": "BLDG. #16",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014799",
            "telephone_number": "505-722-4383",
            "fax_number": "505-722-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISABILITY SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LACAYO",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "505-722-4383",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E7471",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D0664",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McKinley Opportunity & Resource Enterprises",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Abbie Dickerson
• Karen Dilorenzo-Jones, BSN, ADN
• Daryl Katherine Dineyazhe-Toya, PHARMD
• Dawn Capri Dineyazhe, PT
• Steve Ding
• Katrina Maye Eugenio Dividina, RN
• Connie Sue Dixon, RN
• Corliss Dixon
• Nicole Dixon, RN
• Rodney Dixon

• Community/Behavioral Health Agency in Gallup, NM
• Providers in Gallup, NM by specialty
• Community/Behavioral Health Agency in New Mexico

• 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.