State Of The Heart Recovery Inc. - Medicare Mental Health Clinic in Albuquerque, NM

State Of The Heart Recovery Inc. is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Albuquerque, New Mexico. The current practice location for State Of The Heart Recovery Inc. is 203 California St Ne, Albuquerque, New Mexico. For appointments, you can reach them via phone at (505) 688-1228. The mailing address for State Of The Heart Recovery Inc. is 203 California St Ne, Albuquerque, New Mexico and phone number is () -.

State Of The Heart Recovery Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1871137042. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (505) 688-1228.

Contact Information

State Of The Heart Recovery Inc.
203 California St Ne
Albuquerque
NM 87108-1802
(505) 688-1228
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameState Of The Heart Recovery Inc.
SpecialityClinic/Center
Location203 California St Ne, Albuquerque, New Mexico
Authorized Official Name and PositionPaul Thomas Chavez (EXECUTIVE DIRECTOR)
Authorized Official Contact5056881228
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
State Of The Heart Recovery Inc.
203 California St Ne
Albuquerque
NM 87108-1802

Ph: () -
State Of The Heart Recovery Inc.
203 California St Ne
Albuquerque
NM 87108-1802

Ph: (505) 688-1228

NPI Details:

NPI Number1871137042
Provider Enumeration Date10/31/2019
Last Update Date05/03/2024
Certification Date05/03/2024

Medicare PECOS Information:

Medicare PECOS PAC ID0244641058
Medicare Enrollment IDO20201228001185

Medical Identifiers

Medical identifiers for State Of The Heart Recovery Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871137042NPI-NPPES
73230545MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. State Of The Heart Recovery Inc. acts as a billing entity for following providers:
Provider NameDavid M Melamed
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1154652295
PECOS PAC ID: 3375536824
Enrollment ID: I20080425000068
Provider NameDiane C Clawson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1831148881
PECOS PAC ID: 4981677820
Enrollment ID: I20090130000577
Provider NameJulia Camacho
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326525395
PECOS PAC ID: 9739567686
Enrollment ID: I20220604000386
Provider NameRichard J Levine
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1699052985
PECOS PAC ID: 7315348810
Enrollment ID: I20220706001914

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.