Bonham & Associates

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I-06585 Issued in NM

Legal business name

BONHAM & ASSOCIATES

Practice address

205 N Auburn Ave
Farmington, NM 87401-8411

Phone

(505) 564-3733

Fax

(505) 564-3788

NPI assigned

Jun 25, 2008

Organization subpart

No

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

Authorized official

Name

Kim D Dutremaine, LISW, LADAC

Title

Owner

Phone

(505) 564-3733

Specialties & licenses 2

Addresses

Tax ID family

Bonham and Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bonham and Associates

  • Addiction (Substance Use Disorder) Counselor
  • Farmington, NM
  • NPI 1720231996
  NPD tax ID

Locations

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1881856573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N AUBURN AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018411",
            "telephone_number": "505-564-3733",
            "fax_number": "505-564-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N AUBURN AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018411",
            "telephone_number": "505-564-3733",
            "fax_number": "505-564-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONHAM & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "DUTREMAINE",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-564-3733",
        "authorized_official_credential": "LISW, LADAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0090031",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I-06585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samaira Bluehouse
• Bobby G Painter OD
• Mary Louise Bodewes, PAC
• Carrie Boehm, RDH
• Peter Boehringer, M.D.
• Bonham and Associates
• Richard David Bonham, LADAC
• Normachele Boo
• Justin Booker
• Laura C Bowen, PT

• Clinical Social Worker in Farmington, NM
• Providers in Farmington, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.