Kolomeir Clinic, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

KOLOMEIR CLINIC, LLC

Practice address

5345 Wyoming Blvd
Suite 101
Albuquerque, NM 87109-3193

Phone

(505) 856-6898

Fax

(505) 292-1574

NPI assigned

Apr 20, 2011

Organization subpart

No

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

Authorized official

Name

Maureen Kolomeir, PMHNP-BCNPI 1003148156

Title

Nurse Practitioner Owner

Phone

(505) 720-3819

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maureen Kolomeir, RN, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Albuquerque, NM
  • NPI 1003148156
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1982995205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 SPAIN RD NE",
            "address_2": "SUITE 106",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093155",
            "telephone_number": "505-384-7352",
            "fax_number": "505-274-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 WYOMING BLVD",
            "address_2": "SUITE 101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093193",
            "telephone_number": "505-856-6898",
            "fax_number": "505-292-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOLOMEIR CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "KOLOMEIR",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER OWNER",
        "authorized_official_telephone_number": "505-720-3819",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84887231",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Kolkena, CNM, WHNP-BC
• Deborah Kolkmeyer, M.S, CDE
• Karla Elaine Kollasch, M.S., CCC-SLP
• Susan Koller, M.A., CCC-SLP
• Brooke Kollman, PA-C
• Maureen Kolomeir, RN, CNP
• Janice Lyn Koltonuk, LISW
• Christine Elisabeth Kolwitz, DO
• Steven Anthony Komadina, M.D.
• Lora Catherine Komensky, FNP-C

• Adult Mental Health Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Adult Mental Health Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.