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PAGODA BEHAVIORAL HEALTH LLC
NPI 1164236782
Counselor - Mental Health in Albuquerque, NM

Active since February 04, 2025
1203 IRON AVE SW APT 2, ALBUQUERQUE, NM 87102(505) 795-0706 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pagoda Behavioral Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAGODA BEHAVIORAL HEALTH LLC (NPI 1164236782) is a healthcare organization registered as a mental health in Albuquerque, New Mexico and active in the NPI registry since February 2025. The organization lists Fernando Ortiz, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1164236782
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NamePAGODA BEHAVIORAL HEALTH LLC
Location Address1203 IRON AVE SW APT 2Albuquerque, NM 87102-3784
Mailing Address1203 Iron Ave Sw Apt 2Albuquerque, NM 87102-3784
Phone(505) 795-0706
Organization SubpartNo
Authorized OfficialFernando OrtizCredentialing Manager · (575) 707-8150
Enumeration DateFebruary 4, 2025
NPPES CertifiedFebruary 4, 2025
✔ NPI 1164236782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1203 IRON AVE SW APT 2, Albuquerque, NM 87102
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pagoda Behavioral Health LLC's NPI number?

The NPI number for Pagoda Behavioral Health LLC is 1164236782. It was assigned to this organization in the NPPES registry on February 4, 2025.

Where is Pagoda Behavioral Health LLC located?

Pagoda Behavioral Health LLC is located at 1203 Iron Ave SW Apt 2, Albuquerque, NM 87102. The listed phone number is (505) 795-0706.

What is Pagoda Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Pagoda Behavioral Health LLC was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.