Navajo Dept. of Behavioral Health Services

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

Legal business name

NAVAJO DEPT. OF BEHAVIORAL HEALTH SERVICES

Practice address

491 Pinon Street
Shiprock, NM 87420-1830

Phone

(505) 368-1438

Fax

(505) 368-1462

NPI assigned

Mar 13, 2017

Organization subpart

No

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

Authorized official

Name

Harry Clark Jr.

Title

Traditional Healer

Phone

(505) 368-1438

Specialties & licenses 1

Addresses

Other names 1

• Navajo Regional Behavioral Health Center Other name

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489363200000",
    "number": "1982145785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1830",
            "address_2": "HWY 491 PINON STREET",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874201830",
            "telephone_number": "505-368-1438",
            "fax_number": "505-368-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 PINON STREET",
            "city": "SHIPROCK",
            "state": "NM",
            "postal_code": "874201830",
            "telephone_number": "505-368-1438",
            "fax_number": "505-368-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAJO DEPT. OF BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "TRADITIONAL HEALER",
        "authorized_official_telephone_number": "505-368-1438",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Navajo Regional Behavioral Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Karla J. Nacki, RN
• Fernando Nakai, LSAA
• Lucinda Nakai, LMSW
• Prasanth Ganesan Narahari, MD, MBBS
• Mrinmayee Nath, DDS
• Navajo Regional Behavioral Health Center
• Navajo Regional Behavioral Health Center - Adolescent Residential
• Navajo Regional Behavioral Health Center - Adult Residential Treatment
• Navajo Regional Behavioral Health Center - Outpatient
• Bertha M. Negale, RN

• Children's Substance Abuse Rehabilitation Facility in Shiprock, NM
• Providers in Shiprock, NM by specialty
• Children's Substance Abuse Rehabilitation Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.