OrganizationActive
A Port in a Storm LLC
NPI 1174909964 · Clinical Psychologist · Taos, NM
Provider details
- NPI number
- 1174909964
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Authorized official
- Page Mastor, Clinical Psychologist
- License
- 0858 (NM)
Practice location
1337 Gusdorf Rd Ste H
Taos, NM 87571-6297
Phone: (575) 737-9352
Fax: (575) 737-5054
Mailing address
1337 Gusdorf Rd Ste H
Taos, NM 87571-6297
Registry dates
- Enumerated
- 2015-08-04
- Last updated
- 2025-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.