Meditelecare Of New Mexico, LLC
Psychiatry & Neurology, Psychiatry in Espanola, New Mexico
1629639729- Practice location
- 206 S Coronado Ave, Espanola, NM 87532-2792
- Phone
- 860-788-6404
- Fax
- —
- Last updated
- May 5, 2025
Meditelecare Of New Mexico, LLC is a healthcare organization based in Espanola, NM. Meditelecare Of New Mexico, LLC practices in Espanola, NM. The NPI Number for Meditelecare Of New Mexico, LLC is 1629639729. The current practice location address for Meditelecare Of New Mexico, LLC is 206 S Coronado Ave, Espanola, NM 87532-2792 and can be reached out via phone at 860-788-6404.
Provider Profile Details
- NPI Number
- 1629639729
- Provider Name
- Meditelecare Of New Mexico, LLC
- Provider Entity Type
- Organization
- Address
- 206 S Coronado Ave, Espanola, NM 87532-2792
- Phone Number
- 860-788-6404
- Primary Taxonomy
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- Organization Subpart
- No
- Authorized Official
- Andrea Godfrey · Credentialing & Enrollment Manager · 860-398-6441
- Provider Enumeration Date
- June 28, 2019
- Last Update Date
- May 5, 2025
- Certification Date
- May 5, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 206 S Coronado Ave
Espanola, NM 87532-2792 - City
- Espanola
- State
- New Mexico
- Zip
- 87532-2792
- Phone Number
- 860-788-6404
Provider Business Mailing Address Details
- Address
- Po Box 1595
Middletown, CT 06457-8095 - City
- Middletown
- State
- CT
- Zip
- 06457-8095
- Phone Number
- 860-788-6404
- Fax Number
- 860-829-0495
License Information
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (4)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Taxonomy (5)
- Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychiatry & Neurology, Psychiatry providers near Espanola, NM
View all Psychiatry & Neurology, Psychiatry providers in Espanola →Frequently Asked Questions
What is the NPI number of Meditelecare Of New Mexico, LLC?
The NPI number of Meditelecare Of New Mexico, LLC is 1629639729. It was assigned on June 28, 2019 and is currently active in the NPPES registry.
What is the specialty of Meditelecare Of New Mexico, LLC?
Meditelecare Of New Mexico, LLC is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X).
Where does Meditelecare Of New Mexico, LLC practice?
The practice location is 206 S Coronado Ave, Espanola, NM 87532-2792. The office can be reached at 860-788-6404 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629639729 directly on the NPPES registry website.