Organization Active NPI

Samaritan Counseling Center of Albuquerque

  • Psychologist
  • Albuquerque, NM
National Provider Identifier
1851309009
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SAMARITAN COUNSELING CENTER OF ALBUQUERQUE
Practice address
1101 Medical Arts Ave NE BLDG 3
Albuquerque, NM 87102-2706
Phone
(505) 842-5300
Fax
(505) 765-1100
NPI assigned
Aug 4, 2006
Last updated
Oct 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Mrs. Sarah Brennan, PH.D.NPI 1407881261
Title
Clinical Director/Vice President
Phone
(505) 842-5300

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
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

1101 Medical Arts Ave NE BLDG 3
Albuquerque, NM 87102-2706

Mailing address

1101 Medical Arts Ave NE BLDG 3
Albuquerque, NM 87102-2706
Phone (505) 842-5300

Other identifiers 1

IdentifierTypeStateIssuer
40404226MedicaidNM

National Provider Directory

National Provider Directory

Locations

7401 Copper Ave NE
Albuquerque, NM 87108
Phone (505) 232-9803

Practitioners & affiliated clinicians

Practitioners 3

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": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1851309009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MEDICAL ARTS AVE NE BLDG 3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022706",
            "telephone_number": "505-842-5300",
            "fax_number": "505-765-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MEDICAL ARTS AVE NE BLDG 3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022706",
            "telephone_number": "505-842-5300",
            "fax_number": "505-765-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN COUNSELING CENTER OF ALBUQUERQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR/VICE PRESIDENT",
        "authorized_official_telephone_number": "505-842-5300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40404226",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; 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.