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BRADFORD C. RICHARDS NPI 1609979608


NPI Information

NPI: 1609979608
Provider Name: BRADFORD C. RICHARDS

Doing Business As: COGNITIVE BEHAVIORAL INSTITUTE

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1 SAN RAFAEL AVENUE NE
ALBUQUERQUE, NM
ZIP 87122
Phone: (505) 823-1600
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BRADFORD C. RICHARDS is a mental health (including community mental health center) clinic center in Albuquerque, NM. BRADFORD C. RICHARDS NPI is 1609979608. The provider is registered as an organization entity type.
The provider Is Doing Business As Cognitive Behavioral Institute.

The provider's business location address is:

1 SAN RAFAEL AVENUE NE
ALBUQUERQUE, NM
ZIP 87122
Phone: (505) 823-1600
Fax: (505) 823-1161

The provider's authorized official is Bradford C. Richards .
The authorized official title is Doctor/owner and has the following contact phone number (505) 823-1600.

The enumeration date for this NPI number is 9/6/2006 and was last updated on 10/20/2009.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)PSYCHOLOGIST #0855NEW MEXICONo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)#0855NEW 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
1P99035MEDICARE UPIN
2P99035MEDICARE UPINNEW MEXICO
324738034MEDICAIDNEW MEXICO
42473804MEDICAIDNEW MEXICO
5339436301MEDICARE PIN

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

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