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Contact Information

CYFD-STATE OF NEW MEXICO-TCM
4000 EDITH BLVD NE
ALBUQUERQUE, NM87107-2222
 Phone: 505-841-2400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Adolescent and Children Mental Health

261QM0855X
 

Adolescent Medicine

207QA0000X 08 Physician/Family Practice
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for CYFD-STATE OF NEW MEXICO-TCM

NPI Number 1710053293
LBN Legal business name CYFD-STATE OF NEW MEXICO-TCM
Authorized official GREG NELSON - (BUREAU CHIEF, CYFDJJS)
Entity Organization
Organization subpart 1 No
Enumeration date 11/28/2006
Last updated 07/14/2025 - About 11 months ago
Identifiers
NM Medicaid 74475
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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