Active NPI
Cross River Therapy NM
- Behavior Analyst
- Albuquerque, NM
National Provider Identifier
1851966394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- CROSS RIVER THERAPY NM
- Practice address
- 500 Marquette Ave NW Ste 1200
Albuquerque, NM 87102-5312 - Phone
- (919) 375-0475
- NPI assigned
- May 26, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Zauderer
- Title
- Ceo
- Phone
- (919) 375-0475
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
500 Marquette Ave NW Ste 1200
Albuquerque, NM 87102-5312
Mailing address
500 Marquette Ave NW Ste 1200
Albuquerque, NM 87102-5312
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638144000000",
"number": "1851966394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 MARQUETTE AVE NW STE 1200",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871025312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MARQUETTE AVE NW STE 1200",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871025312",
"telephone_number": "919-375-0475"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSS RIVER THERAPY NM",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-26",
"last_updated": "2021-11-29",
"certification_date": "2021-11-29",
"status": "A",
"authorized_official_last_name": "ZAUDERER",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "919-375-0475"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.