| Zia Community Cares, Llc | |
|
5400 Gibson Blvd Building 11 Albuquerque NM 87108-8710 | |
| (505) 982-3113 | |
| (505) 982-2462 |
| Full Name | Zia Community Cares, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5400 Gibson Blvd, Albuquerque, New Mexico |
| Authorized Official Name and Position | Monica R Jaramillo (COO) |
| Authorized Official Contact | 5059823113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zia Community Cares, Llc 5400 Gibson Blvd Box 18 Albuquerque NM 87108 Ph: (505) 982-3113 | Zia Community Cares, Llc 5400 Gibson Blvd Building 11 Albuquerque NM 87108-8710 Ph: (505) 982-3113 |
| NPI Number | 1831710490 |
|---|---|
| Provider Enumeration Date | 05/05/2020 |
| Last Update Date | 06/24/2020 |
| Certification Date | 06/24/2020 |
| Medicare PECOS PAC ID | 9830510288 |
|---|---|
| Medicare Enrollment ID | O20200610003018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831710490 | NPI | - | NPPES |
| Provider Name | Diana Calderon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346378486 PECOS PAC ID: 8325114895 Enrollment ID: I20080906000177 |
| Provider Name | Mark E Ovrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871730879 PECOS PAC ID: 5991837361 Enrollment ID: I20100720001014 |
| Provider Name | Sandra Crane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407090947 PECOS PAC ID: 3870763618 Enrollment ID: I20111031000535 |
| Provider Name | Yolanda M Morales |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1578742243 PECOS PAC ID: 3375719149 Enrollment ID: I20111228000351 |
| Provider Name | Lee S Shuster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285703181 PECOS PAC ID: 1153571898 Enrollment ID: I20121016000006 |
| Provider Name | Kathryn T Wiggins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942546767 PECOS PAC ID: 7618112632 Enrollment ID: I20130322000286 |
| Provider Name | Talya E Steinberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700275682 PECOS PAC ID: 9739406943 Enrollment ID: I20150327001661 |
| Provider Name | Joseph G Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164510434 PECOS PAC ID: 8628388667 Enrollment ID: I20151104000468 |
| Provider Name | Maria Lynn Spangler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013433192 PECOS PAC ID: 4183999840 Enrollment ID: I20171005000534 |
| Provider Name | Jenna Dill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518190099 PECOS PAC ID: 0345599296 Enrollment ID: I20180827000132 |
| Provider Name | Sandra L Rowe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700362597 PECOS PAC ID: 1254683618 Enrollment ID: I20181012000318 |
| Provider Name | Christopher R O'donnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659902138 PECOS PAC ID: 6305267188 Enrollment ID: I20200603001033 |
| Provider Name | Jonathan L Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225658081 PECOS PAC ID: 9133544711 Enrollment ID: I20200729002692 |
| Provider Name | Megan Mcguiness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104508043 PECOS PAC ID: 2062866148 Enrollment ID: I20230922001630 |
| Provider Name | Adriana S Boulton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609361013 PECOS PAC ID: 0648624726 Enrollment ID: I20230922001885 |
Integrated Healthcare Of New Mexico Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7632 William Moyers Ave Ne, Albuquerque, NM 87122 Phone: 505-554-1716 Fax: 505-792-5222 | |
Lotus Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2626 Central Ave Sw, Albuquerque, NM 87104 Phone: 505-238-9551 | |
Choices Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3620 Wyoming Blvd Ne, Suite L3, Albuquerque, NM 87111 Phone: 505-730-6791 Fax: 505-814-5740 | |
Broken Arrow Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 Simon Ln Sw, Albuquerque, NM 87105 Phone: 505-818-7934 | |
Mind Over Matters Holistic Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2424 Palomas Dr Ne, Albuquerque, NM 87110 Phone: 505-459-6980 | |
Solamente Holistic Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 833 Lomas Blvd Nw, Albuquerque, NM 87102 Phone: 505-243-6353 | |
Meridian Behavioral Health Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3539 Thaxton Ave Se, Albuquerque, NM 87106 Phone: 505-903-0927 |