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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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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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1252Y00000XEarly Intervention Provider AgencyNEW MEXICONo
2251B00000XCase ManagementNo
3261QD1600XClinic/CenterDevelopmental DisabilitiesNo
4261QH0100XClinic/CenterHealth ServiceNo
5261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
6251S00000XCommunity/Behavioral HealthYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000Q3467MEDICAIDNEW MEXICO
2NM600403MEDICAIDNEW 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

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.