PERFECTLY IMPERFECT
NPI 1003582461
Clinic/Center - Mental Health (Including Community Mental Health Center) in Albuquerque, NM

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

Active since August 17, 2021

146 QUINCY ST NE, ALBUQUERQUE, NM 87108(505) 550-1306(844) 434-8055 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 26, 2022, Aug 17, 2021 (2 updates tracked since 2021).

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NPI Profile Information
Primary Taxonomy
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Mental Health (Including Community Menta...

About PERFECTLY IMPERFECT

This page provides the complete NPI Profile along with additional information for Perfectly Imperfect, a provider established in Albuquerque, New Mexico operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1003582461 assigned on August 2021. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dominic John Cagliostro Lcsw (Ceo)

NPI: 1003582461 Verify this NPI
Provider Name: PERFECTLY IMPERFECT
Entity Type: Organization
Location Address: 146 QUINCY ST NE ALBUQUERQUE, NM 87108
Location Phone: (505) 550-1306
Location Fax: (844) 434-8055
Mailing Address: 146 QUINCY ST NE ALBUQUERQUE, NM 87108
Mailing Phone: (505) 550-1306
Mailing Fax: (844) 434-8055
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 08-17-2021
Last Update Date: 08-26-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Mental Health (Including Community Mental Health Center)
Taxonomy Code: 261QM0801X
Type: Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DOMINIC JOHN CAGLIOSTRO LCSW
Authorized Official Title: CEO
Authorized Official Phone: (505) 465-9117