| The Life Link | |
|
2325 Cerrillos Rd Santa Fe NM 87505-3373 | |
| (505) 438-0010 | |
| Not Available |
| Full Name | The Life Link |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2325 Cerrillos Rd, Santa Fe, New Mexico |
| Authorized Official Name and Position | Carolyn Luna-anderson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5054380010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Life Link Po Box 6094 Santa Fe NM 87502-6094 Ph: (505) 438-0010 | The Life Link 2325 Cerrillos Rd Santa Fe NM 87505-3373 Ph: (505) 438-0010 |
| NPI Number | 1841332400 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7012078199 |
|---|---|
| Medicare Enrollment ID | O20190610000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841332400 | NPI | - | NPPES |
| 02097780008 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3026 (New Mexico) | Primary |
| Provider Name | Jafet Emiro Gonzalez Zakarchenco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336105998 PECOS PAC ID: 2163324500 Enrollment ID: I20040124000418 |
| Provider Name | Michael A Debernardi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093864159 PECOS PAC ID: 1759278005 Enrollment ID: I20040302000178 |
| Provider Name | Michael Dudelczyk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942267596 PECOS PAC ID: 5799670949 Enrollment ID: I20040929001154 |
| Provider Name | Ernesto Santistevan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114137684 PECOS PAC ID: 4981792942 Enrollment ID: I20071109000048 |
| Provider Name | Celia J Naar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861868036 PECOS PAC ID: 4981931912 Enrollment ID: I20190813002629 |
| Provider Name | Rebecca L De Melo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851674360 PECOS PAC ID: 1052600400 Enrollment ID: I20190815002888 |
| Provider Name | Megan N Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023357571 PECOS PAC ID: 1658708870 Enrollment ID: I20200228001748 |
| Provider Name | Montserrat Oceguera-campos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083141527 PECOS PAC ID: 7517346414 Enrollment ID: I20220623002327 |
| Provider Name | Nancy E Brew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366690315 PECOS PAC ID: 8426031667 Enrollment ID: I20230729000035 |
| Provider Name | Elena M Petre-grigorescu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174218036 PECOS PAC ID: 2860847233 Enrollment ID: I20231005001103 |
| Provider Name | Sparo Vigil |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174190359 PECOS PAC ID: 5092164400 Enrollment ID: I20231211002932 |
| Provider Name | Lori Spillman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609579036 PECOS PAC ID: 4284083601 Enrollment ID: I20231211003300 |
| Provider Name | Amanda Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750940938 PECOS PAC ID: 1951752328 Enrollment ID: I20240110001847 |
| Provider Name | Krista Brening |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245563527 PECOS PAC ID: 5193176584 Enrollment ID: I20240110002413 |
| Provider Name | Elijah Chong |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851875082 PECOS PAC ID: 2668824566 Enrollment ID: I20240116003882 |
| Provider Name | Nicol Blais |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154961886 PECOS PAC ID: 0143672055 Enrollment ID: I20240116004160 |
| Provider Name | Lynn Sanchez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720226046 PECOS PAC ID: 5395198899 Enrollment ID: I20240131004528 |
| Provider Name | Janelle Bohannon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528427770 PECOS PAC ID: 2668825944 Enrollment ID: I20240202001677 |
| Provider Name | Sheila Montoya |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861025215 PECOS PAC ID: 9133661556 Enrollment ID: I20240612003357 |
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 | |
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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 | |
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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 |