Rio Valle Behavioral Health Centre

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD2004-0757 Issued in NM

Legal business name

RIO VALLE BEHAVIORAL HEALTH CENTRE

Practice address

101 Livinston Loop
BLDG C Suite 3
Santa Teresa, NM 88008

Phone

(575) 589-2025

Fax

(575) 589-2605

NPI assigned

Dec 21, 2006

Last updated

Nov 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Aleksandr Gazarov, M.DNPI 1932282225

Title

Owner,President

Phone

(575) 589-2025

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

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.

• Aleksandr G Gazarov, M.D.

  • Psychiatry Physician
  • Santa Teresa, NM
  • NPI 1932282225
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383523200000",
    "number": "1912061235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LIVINGSTON LOOP,BLDG C",
            "address_2": "SUTIE 3",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "88008",
            "telephone_number": "575-589-2025",
            "fax_number": "575-589-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LIVINSTON LOOP",
            "address_2": "BLDG C SUITE 3",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "88008",
            "telephone_number": "575-589-2025",
            "fax_number": "575-589-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO VALLE BEHAVIORAL HEALTH CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2013-11-04",
        "status": "A",
        "authorized_official_last_name": "GAZAROV",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_title_or_position": "OWNER,PRESIDENT",
        "authorized_official_telephone_number": "575-589-2025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NM",
            "license": "MD2004-0757",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "MD2004-0757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oscar Regalado III, LMHC
• Reliant Prosthetics Southwest, LLC
• Norma Renteria, MA, LMHC
• Hector Reyes Alvarez
• Brianna Reyes
• Christina Shantel Rios Lumpkins
• Miriam V Rivas, LPCC, LPC
• Diane Rivera
• Emilio T. Rivera, MD
• Marisol Rivera

• Psychiatry Physician in Santa Teresa, NM
• Providers in Santa Teresa, NM by specialty
• Psychiatry Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.