Organization Active NPI

Kea Behavioral Health, PC

  • Specialist
  • Albuquerque, NM
National Provider Identifier
1982820387
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KEA BEHAVIORAL HEALTH, PC
Practice address
2812 Bosque del Rio LN NW
Albuquerque, NM 87120-3130
Phone
(505) 550-3688
Fax
(505) 343-3130
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Katherine Ann Fields, LPCC
Title
Owner
Phone
(505) 550-3688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2812 Bosque del Rio LN NW
Albuquerque, NM 87120-3130

Mailing address

2812 Bosque del Rio
PO Box 27482
Albuquerque, NM 87125, NM 87125
Phone (505) 550-3688

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982820387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 BOSQUE DEL RIO",
            "address_2": "PO BOX 27482",
            "city": "ALBUQUERQUE, NM 87125",
            "state": "NM",
            "postal_code": "87125",
            "telephone_number": "505-550-3688",
            "fax_number": "505-343-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 BOSQUE DEL RIO LN NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871203130",
            "telephone_number": "505-550-3688",
            "fax_number": "505-343-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEA BEHAVIORAL HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-550-3688",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 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.