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1337 Gusdorf Rd Suite E Taos NM 87571-6294 | |
| (575) 758-4297 | |
| (575) 751-7237 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1337 Gusdorf Rd, Taos, New Mexico |
| Authorized Official Name and Position | Simon Torrez (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5757584297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2238 Taos NM 87571-2238 Ph: (575) 758-4297 | 1337 Gusdorf Rd Suite E Taos NM 87571-6294 Ph: (575) 758-4297 |
| NPI Number | 1376777607 |
|---|---|
| Provider Enumeration Date | 05/14/2009 |
| Last Update Date | 08/11/2014 |
| Medicare PECOS PAC ID | 4587840806 |
|---|---|
| Medicare Enrollment ID | O20110520000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376777607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
| Provider Name | Linda J Sanders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326207630 PECOS PAC ID: 5092880062 Enrollment ID: I20180717000769 |
| Provider Name | Mary Young Sa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912095761 PECOS PAC ID: 6608815154 Enrollment ID: I20230124002980 |
| Provider Name | Dee Ann Sands |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114097417 PECOS PAC ID: 4981148475 Enrollment ID: I20240625003398 |
| Provider Name | Emily Moller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376265819 PECOS PAC ID: 7416328562 Enrollment ID: I20241105002056 |
| Provider Name | Andrew J Chiaraluce |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821656000 PECOS PAC ID: 4688109895 Enrollment ID: I20241125003670 |
| Provider Name | Eric Mares |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326525809 PECOS PAC ID: 6103224498 Enrollment ID: I20241127001267 |
| Provider Name | Winston Wilde |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1760804744 PECOS PAC ID: 1759816796 Enrollment ID: I20241127001270 |
| Provider Name | Rose Mary Medina-dominguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043518046 PECOS PAC ID: 3375078124 Enrollment ID: I20241203001586 |
| Provider Name | Stephen Moser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790930246 PECOS PAC ID: 5092241067 Enrollment ID: I20241213001916 |
A Port In A Storm Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1337 Gusdorf Rd Ste H, Taos, NM 87571 Phone: 575-737-9352 Fax: 575-737-5054 | |
Taos Pueblo Cms Administration Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Rotten Tree Road, Taos, NM 87571 Phone: 575-758-7824 Fax: 575-758-3346 | |
Bluebird, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1332 Gusdorf Rd Ste B, Taos, NM 87571 Phone: 575-751-4065 Fax: 575-751-4075 | |
Kathy E. Linton, Ms, Lpcc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Paseo Del Pueblo Sur, Suite 101, Taos, NM 87571 Phone: 575-224-1526 | |
New Mexico Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1333 Paseo Del Pueblo Sur, Taos, NM 87571 Phone: 505-560-9355 | |
Taos Family And Couples Institute Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 827 Paseo Del Pueblo Norte, Taos, NM 87571 Phone: 224-628-6373 | |
Dc Jackson Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Grizzly Bear Run Rd, Taos, NM 87571 Phone: 505-523-0066 |