NPIMap

Organization Active NPI

Heather McCulloch, LMFT, LLC

  • Psychiatric Hospital Unit
  • Los Alamos, NM
National Provider Identifier
1912238965
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
0107741 Issued in NM
Legal business name
HEATHER MCCULLOCH, LMFT, LLC
Practice address
190 Central Park SQ
Suite 216
Los Alamos, NM 87544-4001
Phone
(505) 661-8098
Fax
(505) 662-0099
NPI assigned
Jan 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Authorized official

Name
Ms. Heather McCulloch, MA
Title
Owner/ LMFT
Phone
(505) 661-0898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 0107741 NM Primary

Addresses

Primary practice location

190 Central Park SQ
Suite 216
Los Alamos, NM 87544-4001

Mailing address

190 Central Park SQ
Suite 216
Los Alamos, NM 87544-4001
Phone (505) 661-8098

National Provider Directory

National Provider Directory

Locations

190 Central Park Sq
Ste 216
Los Alamos, NM 87544
Phone (505) 661-8098

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1912238965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 CENTRAL PARK SQ",
            "address_2": "SUITE 216",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444001",
            "telephone_number": "505-661-8098",
            "fax_number": "505-662-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CENTRAL PARK SQ",
            "address_2": "SUITE 216",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444001",
            "telephone_number": "505-661-8098",
            "fax_number": "505-662-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER MCCULLOCH, LMFT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "MCCULLOCH",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER/ LMFT",
        "authorized_official_telephone_number": "505-661-0898",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NM",
            "license": "0107741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.