New Mexico Mental Health Associates, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

I-07579 Issued in NM

Legal business name

NEW MEXICO MENTAL HEALTH ASSOCIATES, LLC

Practice address

1515 Golf Course Rd SE Ste 201
Rio Rancho, NM 87124-2586

Phone

(505) 414-7479

NPI assigned

Feb 22, 2011

Organization subpart

No

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

Authorized official

Name

Justin Richard White, LISW, RN

Title

Clinical Social Worker

Phone

(505) 414-7479

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1962709279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 GOLF COURSE RD SE STE 201",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 GOLF COURSE RD SE STE 201",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871242586",
            "telephone_number": "505-414-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO MENTAL HEALTH ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "505-414-7479",
        "authorized_official_credential": "LISW, RN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NM",
            "license": "I-07579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.