Active NPI
Transformed for Life, LLC
- Psychiatry Physician
- Albuquerque, NM
National Provider Identifier
1942832001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- TRANSFORMED FOR LIFE, LLC
- Practice address
- 316 Osuna Rd NE Ste 201
Albuquerque, NM 87107-5950 - Phone
- (505) 343-2010
- Fax
- (505) 247-8881
- NPI assigned
- Feb 6, 2020
- 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
- Jaclyn Armijo
- Title
- Practice Manager
- Phone
- (505) 343-2010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
316 Osuna Rd NE Ste 201
Albuquerque, NM 87107-5950
Mailing address
316 Osuna Rd NE Ste 201
Albuquerque, NM 87107-5950
Phone (505) 343-2010
Other names 1
- Transformed for Life
National Provider Directory
National Provider DirectoryLocations
316 Osuna Rd NE
Ste 201
Albuquerque, NM 87107
Phone (505) 343-2010
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Albuquerque, NM
- NPI 1841289097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586217600000",
"number": "1942832001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 OSUNA RD NE STE 201",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871075950",
"telephone_number": "505-343-2010",
"fax_number": "505-247-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 OSUNA RD NE STE 201",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871075950",
"telephone_number": "505-343-2010",
"fax_number": "505-247-8881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRANSFORMED FOR LIFE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-06",
"last_updated": "2020-04-07",
"certification_date": "2020-04-07",
"status": "A",
"authorized_official_last_name": "ARMIJO",
"authorized_official_first_name": "JACLYN",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "505-343-2010"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Transformed for Life",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Transformed for Life",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Albuquerque, NM
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- Tranquilina Therapeutics LLC
- Tranquility Medical Spa Center
- Transcendence Massage Therapy LLC
- Transformative Counseling Center LLC
- Transgender Resource Center of New Mexico
- Transitional Hospitals Corporation of New Mexico, LLC
- Transitional Lifestyles Community Inc.
- Transitional Living Services
- Transitional Living Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.