NATIONAL LATINO BEHAVIORAL HEALTH ASSOCIATION
NPI 1659119402
Community/Behavioral Health in Cochiti Lake, NM

Active since July 16, 2024
6555 ROBIN ST, COCHITI LAKE, NM 87083(505) 980-5156 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About NATIONAL LATINO BEHAVIORAL HEALTH ASSOCIATION

This page provides the complete NPI Profile along with additional information for National Latino Behavioral Health Association, a provider established in Cochiti Lake, New Mexico operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1659119402 assigned on July 2024. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mr. Fred R. Sandoval Mpa (Executive Director)

NPI
1659119402 Verify this NPI
Provider Name
NATIONAL LATINO BEHAVIORAL HEALTH ASSOCIATION
Entity Type
Organization
Location Address
6555 ROBIN ST COCHITI LAKE, NM 87083
Location Phone
(505) 980-5156
Mailing Address
PO BOX 1360 PENA BLANCA, NM 87041
Mailing Phone
(505) 980-5156
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-16-2024
Last Update Date
07-16-2024
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

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

MR. FRED R. SANDOVAL MPA

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(505) 980-5156

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659119402, enumerated as an "organization" on July 16, 2024.

The provider is located at 6555 ROBIN ST COCHITI LAKE, NM 87083 and the phone number is (505) 980-5156.

Community/Behavioral Health with taxonomy code 251S00000X.