KELLEN DEAN
NPI 1962010199
Community/Behavioral Health in Bloomfield, NM

Q: What is Kellen Dean's NPI number?

The NPI number for Kellen Dean is 1962010199. It was assigned to this individual provider in the NPPES registry on July 14, 2020.

Q: What is Kellen Dean's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Kellen Dean was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since July 14, 2020

101 E BROADWAY AVE, BLOOMFIELD, NM 87413(505) 330-8220 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2023, Jul 14, 2020 (2 updates tracked since 2020).

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About Kellen Dean NPPES

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

KELLEN DEAN (NPI 1962010199) is an individual community/behavioral health provider in Bloomfield, New Mexico and active in the NPI registry since July 2020. He maintains a secondary practice location in Farmington.

NPPES Registry Identity

NPI1962010199

Entity TypeIndividualMale

Primary Taxonomy251S00000X

Provider Legal NameKELLEN DEAN

Location Address101 E BROADWAY AVEBloomfield, NM 87413-6235

Mailing Address101 E Broadway AveBloomfield, NM 87413-6235 · (505) 947-4384

Phone(505) 330-8220

Sole ProprietorYes

Enumeration DateJuly 14, 2020

Last NPPES UpdateJanuary 19, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2023

✔ NPI 1962010199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

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.

101 E BROADWAY AVE, Bloomfield, NM 87413

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Secondary Practice Location 1

Location 1114 N Behrend AveFarmington, NM 87401-8414 · Phone (505) 330-8220 · Fax (505) 234-7867

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSHUA ATENCIO CSW

Behavior Technician