1982733226 NPI number — BOSQUE MENTAL HEALTH ASSOCIATES, INC.

Table of content: (NPI 1982733226)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982733226 NPI number — BOSQUE MENTAL HEALTH ASSOCIATES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BOSQUE MENTAL HEALTH ASSOCIATES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982733226
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/27/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5310 HOMESTEAD RD NE STE 300
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALBUQUERQUE
Provider Business Mailing Address State Name:
NM
Provider Business Mailing Address Postal Code:
87110-1524
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
505-503-6838
Provider Business Mailing Address Fax Number:
505-369-1292

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5310 HOMESTEAD RD NE STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87110-1524
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-503-6838
Provider Business Practice Location Address Fax Number:
505-369-1292
Provider Enumeration Date:
03/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SCHUELER
Authorized Official First Name:
CATHY
Authorized Official Middle Name:
Authorized Official Title or Position:
EXECUTIVE DIRECTOR/CEO
Authorized Official Telephone Number:
505-503-6838

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X , with the licence number:  2314 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 101YA0400X , with the licence number: I-05241 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: I-05241 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: I-05241 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: NM101597 . This is a "VALUE OPTIONS" identifier , issued by the state of ( NM ) . This identifiers is of the category "OTHER".
  • Identifier: 201046208 . This is a "PRESBYTERIAN HEALTHCARE" identifier , issued by the state of ( NM ) . This identifiers is of the category "OTHER".
  • Identifier: 95475761 , issued by the state of ( NM ) . This identifiers is of the category "MEDICAID".




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