National Provider Identifier Database

MEDITELECARE OF NEW MEXICO LLC
Psychiatry

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.


Contact Information

MEDITELECARE OF NEW MEXICO, LLC
206 S CORONADO AVE
ESPAÑOLA, NM87532-2792
Phone: 860-788-6404
Fax:
Website:
Specialty Taxonomy Code
* Psychiatry 2084P0800X
Clinical 103TC0700X
Clinical 1041C0700X
Geriatric Psychiatry 2084P0805X
Psychiatric/Mental Health 363LP0808X

* Indicates primary specialty

NPI Profile & details for MEDITELECARE OF NEW MEXICO, LLC

NPI Number 1629639729
Legal business name
LBN
MEDITELECARE OF NEW MEXICO, LLC
Authorized official ANDREA GODFREY - (CREDENTIALING & ENROLLMENT MANAGER)
Entity Organization
Organization subpart No
Enumeration date 06/28/2019
Last updated 05/05/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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