POE PSYCHIATRY PC NPI 1558891184

NPI Information

NPI: 1558891184
Provider Name: POE PSYCHIATRY PC

Doing Business As: POE PSYCHIATRY PC

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
234 N SCHWARTZ AVE
FARMINGTON, NM
ZIP 87401
Phone: (505) 427-0401
Get Directions

POE PSYCHIATRY PC is a psychiatric/mental health nurse practitioner in Farmington, NM. POE PSYCHIATRY PC NPI is 1558891184. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Poe Psychiatry Pc.

The provider's business location address is:

234 N SCHWARTZ AVE
FARMINGTON, NM
ZIP 87401
Phone: (505) 427-0401
Fax: (505) 787-2174

The provider's authorized official is Cathy B Poe .
The authorized official title is Ceo / Owner and has the following contact phone number (505) 427-0401.

The CLIA number assigned to this NPI record is 32D2140794 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2017 and was last updated on 6/20/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry			No
2	101Y00000X	Counselor				No
3	104100000X	Social Worker				No
4	376K00000X	Nurse's Aide				No
5	390200000X	Student in an Organized Health Care Education/Training Program				No
6	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	CNP-02352	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	81905301	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »