| Teambuilders Behavioral Health, Llc | |
|
2504 Camino Entrada Santa Fe NM 87507-4851 | |
| (505) 235-4002 | |
| Not Available |
| Full Name | Teambuilders Behavioral Health, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2504 Camino Entrada, Santa Fe, New Mexico |
| Authorized Official Name and Position | Sun Vega (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 5052354002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Teambuilders Behavioral Health, Llc Po Box 28164 Santa Fe NM 87592-8164 Ph: () - | Teambuilders Behavioral Health, Llc 2504 Camino Entrada Santa Fe NM 87507-4851 Ph: (505) 235-4002 |
| NPI Number | 1790329472 |
|---|---|
| Provider Enumeration Date | 11/05/2019 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Medicare PECOS PAC ID | 5294126629 |
|---|---|
| Medicare Enrollment ID | O20211220001149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790329472 | NPI | - | NPPES |
| 01981331 | Medicaid | NM |
| Provider Name | Judy L Vargas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184675662 PECOS PAC ID: 4789631664 Enrollment ID: I20050510001246 |
| Provider Name | Christopher Todd Clancy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669402103 PECOS PAC ID: 0042235475 Enrollment ID: I20060421000240 |
| Provider Name | Russell G Brown |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205028321 PECOS PAC ID: 4587758388 Enrollment ID: I20070925000232 |
| Provider Name | Douglas Hinten Emch |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891861597 PECOS PAC ID: 7315831526 Enrollment ID: I20130321000619 |
| Provider Name | Rebecca L Webb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679680623 PECOS PAC ID: 6507947462 Enrollment ID: I20140425000739 |
| Provider Name | Wendy A Rodgers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265700439 PECOS PAC ID: 1052553187 Enrollment ID: I20151107000225 |
| Provider Name | Terry L Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124345764 PECOS PAC ID: 8224278239 Enrollment ID: I20210324002271 |
| Provider Name | Jennifer Lynne Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124419270 PECOS PAC ID: 6507266657 Enrollment ID: I20210611001188 |
| Provider Name | Stephanie Tolstoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518347475 PECOS PAC ID: 6709173149 Enrollment ID: I20220323002699 |
| Provider Name | Chikwelu Christian Umeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003289885 PECOS PAC ID: 3476856444 Enrollment ID: I20240221000997 |
| Provider Name | Terry Barsano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003089079 PECOS PAC ID: 5698110930 Enrollment ID: I20240227003656 |
| Provider Name | Adreanna Hunter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902249659 PECOS PAC ID: 7113362666 Enrollment ID: I20240227003774 |
| Provider Name | Nicholas Charles Cuccia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982127551 PECOS PAC ID: 3274983937 Enrollment ID: I20240306001027 |
| Provider Name | Omar A Vega |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386855252 PECOS PAC ID: 1557752987 Enrollment ID: I20240313003146 |
| Provider Name | Deanna Lasater |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669838827 PECOS PAC ID: 6800230434 Enrollment ID: I20240408001733 |
| Provider Name | Winnie Bosire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801533179 PECOS PAC ID: 2163860685 Enrollment ID: I20240712001971 |
| Provider Name | Brandon Lawrence Medley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285237461 PECOS PAC ID: 1557809688 Enrollment ID: I20240911003956 |
| Provider Name | Jackie Lynne West |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124231618 PECOS PAC ID: 7113467341 Enrollment ID: I20240913002340 |
| Provider Name | Dara Goodwin-downs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043846918 PECOS PAC ID: 3971943721 Enrollment ID: I20241004003366 |
| Provider Name | Laura L Lansrud-lopez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992905301 PECOS PAC ID: 7719315589 Enrollment ID: I20241029002531 |
| Provider Name | Lynda K Karley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386899938 PECOS PAC ID: 2466514252 Enrollment ID: I20241118002968 |
| Provider Name | Colette Cutter Impellizzeri |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043220452 PECOS PAC ID: 5698201085 Enrollment ID: I20241209002910 |
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 | |
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 | |