NPI Code Detail JSON Logo

1316751514 NPI number — CAPACITY BUILDERS, INC.

NPI Number: 1316751514
Health Care Provider/Practitioner: CAPACITY BUILDERS, INC.

Information about “1316751514” NPI (CAPACITY BUILDERS, INC.) exists in 1316751514 in HTML format HTML  |  1316751514 in plain Text format TXT  |  1316751514 in PDF (Portable Document Format) PDF  |  1316751514 in an XML format XML  formats.

NPI Number : 1316751514 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316751514",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CAPACITY BUILDERS, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2200 BLOOMFIELD HWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FARMINGTON",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "87401-8110",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "505-278-7789",
    "MailingAddressFaxNumber": "505-326-1698",
    "FirstLinePracticeLocationAddress": "2200 BLOOMFIELD HWY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FARMINGTON",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87401-8110",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "505-278-7789",
    "PracticeLocationAddressFaxNumber": "505-326-1698",
    "EnumerationDate": "02/06/2025",
    "LastUpdateDate": "02/06/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OFTEDAL",
    "AuthorizedOfficialFirstName": "DEBBIE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "SENIOR MANAGEMENT/QUALITY CONTROL",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "505-289-7790",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103TA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Psychologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TF0000X",
          "TaxonomyName": "Family Psychologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TC1900X",
          "TaxonomyName": "Counseling Psychologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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