OrganizationActive
Mimbres Psychological Services
NPI 1104578319 · Adolescent and Children Mental Health Clinic/Center · Albuquerque, NM
Provider details
- NPI number
- 1104578319
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Miriam Whittam, Practice Manager(505) 358-0087
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2811 Indian School Rd Ne
Albuquerque, NM 87106-1825
Phone: (505) 358-0087
Street-level locationGet directions
Mailing address
2811 Indian School Rd Ne
Albuquerque, NM 87106-1825
Registry dates
- Enumerated
- 2022-01-19
- Last updated
- 2022-01-19
- Certified
- 2022-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.