Provider Type Icon

EPOCH BEHAVIORAL HEALTHCARE INC. NPI 1285088658


NPI Information

NPI: 1285088658
Provider Name: EPOCH BEHAVIORAL HEALTHCARE, INC.
Classification: Clinical Nurse Specialist - 364S00000X
Entity Type: Organization
Address:
11501 MONTGOMERY BLVD NE
ALBUQUERQUE, NM
ZIP 87111
Phone: (575) 525-8484
Get Directions

EPOCH BEHAVIORAL HEALTHCARE, INC. is a clinical nurse specialist in Albuquerque, NM. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. EPOCH BEHAVIORAL HEALTHCARE, INC. NPI is 1285088658. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11501 MONTGOMERY BLVD NE
ALBUQUERQUE, NM
ZIP 87111-796
Phone: (575) 525-8484
Fax: (575) 449-2445

The provider's authorized official is Eddie Alvarez .
The authorized official title is Credentialing Specialist and has the following contact phone number (575) 449-2718.

The enumeration date for this NPI number is 4/21/2016 and was last updated on 7/21/2022.


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
1101YM0800XCounselorMental HealthNEW MEXICONo
2364S00000XClinical Nurse SpecialistNEW MEXICOYes

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
135126876MEDICAIDNEW 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.