Healthcare Provider Details

I. General information

NPI: 1548108244
Provider Name (Legal Business Name): NEW PARADIGMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 TRUMAN ST SE
ALBUQUERQUE NM
87108-3544
US

IV. Provider business mailing address

619 TRUMAN ST SE
ALBUQUERQUE NM
87108-3544
US

V. Phone/Fax

Practice location:
  • Phone: 720-229-7425
  • Fax:
Mailing address:
  • Phone: 720-229-7425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JAY BLACKWELL
Title or Position: PRESIDENT/CEO
Credential: LPCC
Phone: 720-229-7425