Nova III Behavioral Health Services

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

NOVA III BEHAVIORAL HEALTH SERVICES

Practice address

2418 E Highway 66
Gallup, NM 87301-4767

Phone

(505) 297-3967

NPI assigned

Dec 21, 2021

Last updated

Dec 27, 2021By 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

Mr. David Conejo

Title

Ceo

Phone

(903) 820-1142

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Dolores T Gonzales, RN

  • Emergency Registered Nurse
  • Gallup, NM
  • NPI 1407216088
  NPD
• Karen Willie

  • Addiction (Substance Use Disorder) Counselor
  • Gallup, NM
  • NPI 1285480632
  NPD (past)

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640563200000",
    "number": "1912667700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 E HIGHWAY 66",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014767",
            "telephone_number": "505-297-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 E HIGHWAY 66",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014767",
            "telephone_number": "505-297-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA III BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "CONEJO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-820-1142",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Anne Nolan, PHARM.D.
• Philip Andrew Norfleet, DDS
• Denise A. Norman, RPH
• Elbert Norris, DPM
• Northland Hearing Center, Inc. (Scandia Hearing)
• Carla Nugent, RN
• Marian Nunez
• Rio Anthony Roa Nunez, BSN, RN
• Nancy Ann Nurse, RN
• Jo Ellen Nutter, R.N.

• Addiction (Substance Use Disorder) Counselor in Gallup, NM
• Providers in Gallup, NM by specialty
• Addiction (Substance Use Disorder) Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.

Verify at the official NPI Registry.