Corewell Behavioral Health LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

COREWELL BEHAVIORAL HEALTH LLC

Practice address

3321 Candelaria Rd NE Ste 116
Albuquerque, NM 87107-1969

Phone

(505) 225-2776

NPI assigned

Sep 12, 2025

Organization subpart

No

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

Authorized official

Name

Kyle Kelley

Title

Owner

Phone

(480) 331-5184

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Roxana Golden

  • Behavior Technician
  • Albuquerque, NM
  • NPI 1134056633
  NPD (past)

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1841161064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 CANDELARIA RD NE STE 116",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071969",
            "telephone_number": "505-225-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 CANDELARIA RD NE STE 116",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071969",
            "telephone_number": "505-225-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREWELL BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-12",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-331-5184"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Cordova
• Sandra Cordova
• Thomas R Cordova, MA
• Veronica Cordova
• Victoria Lynette Cordova, MS
• Christina Coriz
• Colleen Coriz, LADAC
• Angelica Joan Corley, RN
• Emerson John Corley, LCSW
• Juliet Corley, RD

• Substance Use Disorder Rehabilitation Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.