Organization Active NPI

Davidson Therapeutic Solutions LLC

  • Marriage & Family Therapist
  • Albuquerque, NM
National Provider Identifier
1952770174
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
005632 Issued in NM
Legal business name
DAVIDSON THERAPEUTIC SOLUTIONS LLC
Practice address
201 Eubank Blvd NE
Suite D-2B
Albuquerque, NM 87123-2759
Phone
(505) 363-8280
NPI assigned
Sep 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Authorized official

Name
Mr. Ross William Davidson, LMFTNPI 1912064908
Title
President
Phone
(505) 363-8280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 005632 NM Primary

Addresses

Primary practice location

201 Eubank Blvd NE
Suite D-2B
Albuquerque, NM 87123-2759

Mailing address

201 Eubank Blvd NE
Suite D-2B
Albuquerque, NM 87123-2759
Phone (505) 363-8280

Other identifiers 1

IdentifierTypeStateIssuer
1912064908MedicaidNM

National Provider Directory

National Provider Directory

Locations

201 Eubank Blvd NE
Ste D2B
Albuquerque, NM 87123
Phone (505) 363-8280

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": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1952770174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 EUBANK BLVD NE",
            "address_2": "SUITE D-2B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871232759",
            "telephone_number": "505-363-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 EUBANK BLVD NE",
            "address_2": "SUITE D-2B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871232759",
            "telephone_number": "505-363-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSON THERAPEUTIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-363-8280",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "005632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912064908",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 17, 2015; 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.