PB & J FAMILY SERVICES INC. NPI 1164579082

NPI Information

NPI: 1164579082
Provider Name: PB & J FAMILY SERVICES, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address: 1101 LOPEZ RD SW
ALBUQUERQUE, NM
ZIP 87105
Phone: (505) 877-7060

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NPI Details

PB & J FAMILY SERVICES, INC. is a community behavioral health in Albuquerque, NM. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PB & J FAMILY SERVICES, INC. NPI is 1164579082. The provider is registered as an organization entity type.

The provider's business location address is:

1101 LOPEZ RD SW
ALBUQUERQUE, NM
ZIP 87105-954
Phone: (505) 877-7060
Fax: (505) 877-7063

The provider's authorized official is Susannah Burke .
The authorized official title is Exec. Director and has the following contact phone number (505) 877-7060.

The enumeration date for this NPI number is 1/4/2007 and was last updated on 1/10/2011.

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 State	Primary
1	252Y00000X	Early Intervention Provider Agency		NEW MEXICO	No
2	251B00000X	Case Management			No
3	261QD1600X	Clinic/Center	Developmental Disabilities		No
4	261QH0100X	Clinic/Center	Health Service		No
5	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)		No
6	251S00000X	Community/Behavioral Health			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	000Q3467	MEDICAID	NEW MEXICO
2	NM600403	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: 3/30/2025

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