| Copper Cloud Psychotherapy, Llc | |
|
3304 James St Santa Fe NM 87507-5019 | |
| (505) 699-8962 | |
| Not Available |
| Full Name | Copper Cloud Psychotherapy, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3304 James St, Santa Fe, New Mexico |
| Authorized Official Name and Position | Olivia Summa (OWNER) |
| Authorized Official Contact | 5056998962 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Copper Cloud Psychotherapy, Llc 3304 James St Santa Fe NM 87507-5019 Ph: (505) 699-8962 | Copper Cloud Psychotherapy, Llc 3304 James St Santa Fe NM 87507-5019 Ph: (505) 699-8962 |
| NPI Number | 1689451098 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Medicare PECOS PAC ID | 9032559612 |
|---|---|
| Medicare Enrollment ID | O20240430001379 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689451098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Olivia Summa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538774880 PECOS PAC ID: 6507206190 Enrollment ID: I20240430002383 |
Sangre De Cristo Community Health Partnership Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1441 S Saint Francis Dr, Santa Fe, NM 87505 Phone: 505-982-8870 Fax: 505-982-4480 | |
Youth Shelters Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5686 Agua Fria St, Santa Fe, NM 87507 Phone: 505-438-0502 Fax: 505-438-0504 | |
Carrie T. Ishee Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1519 Upper Canyon Rd, Santa Fe, NM 87501 Phone: 505-670-0686 | |
Vega Diagnostic & Consulting Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 29 Rito Guicu, Santa Fe, NM 87507 Phone: 505-235-4002 | |
Youth Shelters Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5686 Agua Fria St, Santa Fe, NM 87507 Phone: 505-983-0586 Fax: 505-424-0949 | |
Equest Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17661 Us 84/285, Santa Fe, NM 87506 Phone: 505-455-0555 Fax: 505-455-2237 | |
William Wengs, Md Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2009 Botulph Rd, Suite 500, Santa Fe, NM 87505 Phone: 505-986-2890 Fax: 505-986-2893 |