UMOJA BEHAVIORAL HEALTH PC NPI 1063989648

NPI Information

  • NPI: 1063989648
  • Provider Name: UMOJA BEHAVIORAL HEALTH PC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 3150 CARLISLE BLVD NE STE 110
    ALBUQUERQUE, NM
    ZIP 87110
  • Phone: (505) 672-5598

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NPI Details

UMOJA BEHAVIORAL HEALTH PC is a mental health (including community mental health center) clinic center in Albuquerque, NM. UMOJA BEHAVIORAL HEALTH PC NPI is 1063989648. The provider is registered as an organization entity type.

The provider's business location address is:

3150 CARLISLE BLVD NE STE 110
ALBUQUERQUE, NM
ZIP 87110-681
Phone: (505) 672-5598
Fax: (505) 214-5071

The provider's authorized official is Kenneth B Winfrey .
The authorized official title is Owner and has the following contact phone number (505) 663-6645.

The enumeration date for this NPI number is 11/1/2018 and was last updated on 6/27/2024.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes
2363LF0000XNurse PractitionerFamilyNo

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: 11/21/2025

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