| St. Vincent Hospital | |
|
440 Saint Michaels Dr Suite 250 Santa Fe NM 87505-7602 | |
| (505) 913-3056 | |
| (505) 989-6021 |
| Full Name | St. Vincent Hospital |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 440 Saint Michaels Dr, Santa Fe, New Mexico |
| Authorized Official Name and Position | Bruce Tassin (PRESIDENT/CEO) |
| Authorized Official Contact | 5058205202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Vincent Hospital 440 Saint Michaels Dr Suite 250 Santa Fe NM 87505-7602 Ph: (505) 913-3056 | St. Vincent Hospital 440 Saint Michaels Dr Suite 250 Santa Fe NM 87505-7602 Ph: (505) 913-3056 |
| NPI Number | 1831493584 |
|---|---|
| Provider Enumeration Date | 01/10/2011 |
| Last Update Date | 02/04/2014 |
| Medicare PECOS PAC ID | 6608775135 |
|---|---|
| Medicare Enrollment ID | O20200124000988 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831493584 | NPI | - | NPPES |
| 95895314 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 14-00123761 (New Mexico) | Primary |
| Provider Name | Charles Windham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306058540 PECOS PAC ID: 5799708244 Enrollment ID: I20060110001073 |
| Provider Name | Daryl Tanski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497809834 PECOS PAC ID: 7012937311 Enrollment ID: I20140923000685 |
| Provider Name | Saraswathi Tirumalasetty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821006172 PECOS PAC ID: 1355606401 Enrollment ID: I20180521002051 |
| Provider Name | Aitala Giron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922057413 PECOS PAC ID: 1658603733 Enrollment ID: I20191022001856 |
| Provider Name | Michael Peter Sanfilipo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083825517 PECOS PAC ID: 0345563722 Enrollment ID: I20200220002276 |
| Provider Name | Danielle Hammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598319246 PECOS PAC ID: 9436588951 Enrollment ID: I20200612001426 |
| Provider Name | Giancarlo Colon Vilar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508151762 PECOS PAC ID: 2961708334 Enrollment ID: I20210923002508 |
Sangre De Cristo Community Health Partnership Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1441 S Saint Francis Dr, Santa Fe, NM 87505 Phone: 505-982-8870 Fax: 505-982-4480 | |
Youth Shelters Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5686 Agua Fria St, Santa Fe, NM 87507 Phone: 505-438-0502 Fax: 505-438-0504 | |
Catalytic Coaching & Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1519 Upper Canyon Rd, Santa Fe, NM 87501 Phone: 505-670-0686 | |
Vega Diagnostic & Consulting Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 29 Rito Guicu, Santa Fe, NM 87507 Phone: 505-235-4002 | |
Youth Shelters Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5686 Agua Fria St, Santa Fe, NM 87507 Phone: 505-983-0586 Fax: 505-424-0949 | |
Equest Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17661 Us 84/285, Santa Fe, NM 87506 Phone: 505-455-0555 Fax: 505-455-2237 | |
William J. Wengs, Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2009 Botulph Rd, Suite 500, Santa Fe, NM 87505 Phone: 505-986-2890 Fax: 505-986-2893 |