OrganizationActive
San Juan College
NPI 1538414727 · Community/Behavioral Health Agency · Farmington, NM
San Juan College is a Community/Behavioral Health Agency organization in Farmington, NM (NPI 1538414727).
Provider details
- NPI number
- 1538414727
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Nicole Deherrera, Program Director(505) 566-3846
- License
- M-07674 (NM)
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
4601 College Blvd
Farmington, NM 87402-4609
Phone: (505) 566-3846
Fax: (505) 566-3687
Street-level locationGet directions
Mailing address
4601 College Blvd
Farmington, NM 87402-4609
Other names (DBA / former)
- Other name
- Children'S Behavioral Health Program
Registry dates
- Enumerated
- 2012-07-13
- Last updated
- 2012-07-13
Frequently asked questions
- What is San Juan College's NPI number?
- San Juan College's National Provider Identifier (NPI) is 1538414727, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Juan College?
- San Juan College is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is San Juan College located?
- San Juan College's practice location on file with NPPES is 4601 College Blvd, Farmington, NM 87402-4609.
- What is San Juan College's phone number?
- The practice phone number listed in the NPPES registry for San Juan College is (505) 566-3846.
- Who is the authorized official for San Juan College?
- The authorized official listed on San Juan College's NPPES record is Nicole Deherrera, Program Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Juan College's NPI active?
- Yes — San Juan College's NPI (1538414727) is active in the NPPES registry as of the last update on 2012-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.