| Telepsych 4 You, Llc | |
|
10401 Montgomery Pkwy Ne Ste 1a Albuquerque NM 87111-3876 | |
| (240) 426-9722 | |
| Not Available |
| Full Name | Telepsych 4 You, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 10401 Montgomery Pkwy Ne Ste 1a, Albuquerque, New Mexico |
| Authorized Official Name and Position | Halima Goodwin (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 2404269722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Telepsych 4 You, Llc 10401 Montgomery Pkwy Ne Ste 1a Albuquerque NM 87111-3876 Ph: () - | Telepsych 4 You, Llc 10401 Montgomery Pkwy Ne Ste 1a Albuquerque NM 87111-3876 Ph: (240) 426-9722 |
| NPI Number | 1750975009 |
|---|---|
| Provider Enumeration Date | 02/26/2021 |
| Last Update Date | 03/08/2021 |
| Certification Date | 03/08/2021 |
| Medicare PECOS PAC ID | 1850792219 |
|---|---|
| Medicare Enrollment ID | O20221025000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750975009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Halima Josina Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952630071 PECOS PAC ID: 2860819257 Enrollment ID: I20210623002699 |
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