Healthcare Provider Details

I. General information

NPI: 1376792473
Provider Name (Legal Business Name): DR. SARAH L STONE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2008
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 LUISA ST STE I
SANTA FE NM
87505-4073
US

IV. Provider business mailing address

1421 LUISA ST STE I
SANTA FE NM
87505-4073
US

V. Phone/Fax

Practice location:
  • Phone: 505-982-8338
  • Fax: 505-982-8393
Mailing address:
  • Phone: 505-982-8338
  • Fax: 505-982-8393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD2024-1198
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: