Organization Active NPI

Transformed for Life, LLC

  • Psychiatry Physician
  • Albuquerque, NM
National Provider Identifier
1942832001
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Apr 7, 2020

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.