Organization Active NPI

Socorro County Community Alternatives Program

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Socorro, NM
National Provider Identifier
1962074484
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
Legal business name
SOCORRO COUNTY COMMUNITY ALTERNATIVES PROGRAM
Practice address
106 Center St
Socorro, NM 87801-4559
Phone
(575) 838-0998
Fax
(575) 838-0244
NPI assigned
Jul 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Dr. Donalita G Maloney, PHDNPI 1275551855
Title
Clinical Supervisor
Phone
(505) 792-6726

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Hospital Unit 276400000X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

106 Center St
Socorro, NM 87801-4559

Mailing address

106 Center St
Socorro, NM 87801-4559
Phone (575) 838-0998

Other practice location 1

106 Center St
Socorro, NM 87801-4559
Phone (575) 838-0998

Other practice location 2

106 Center St
Socorro, NM 87801-4559
Phone (575) 838-0998

Other identifiers 3

IdentifierTypeStateIssuer
1649569575OtherNMNPI
1275551855OtherAKNPI
1891046314OtherNMNPI

National Provider Directory

National Provider Directory
Tax ID family
Socorro County Community Alternatives Program2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1962074484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CENTER ST",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878014559",
            "telephone_number": "575-838-0998",
            "fax_number": "575-838-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CENTER ST",
            "city": "SOCORRO",
            "state": "NM",
            "postal_code": "878014559",
            "telephone_number": "575-838-0998",
            "fax_number": "575-838-0244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Center St",
            "address_purpose": "LOCATION",
            "city": "Socorro",
            "state": "NM",
            "postal_code": "878014559",
            "country_code": "US",
            "telephone_number": "575-838-0998",
            "fax_number": "575-838-0244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Center St",
            "address_purpose": "LOCATION",
            "city": "Socorro",
            "state": "NM",
            "postal_code": "878014559",
            "country_code": "US",
            "telephone_number": "575-838-0998",
            "fax_number": "575-838-0244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOCORRO COUNTY COMMUNITY ALTERNATIVES PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "DONALITA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "505-792-6726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649569575",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275551855",
            "state": "AK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1891046314",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Socorro, NM

Sources for this page

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