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San Juan College

NPI 1538414727ActiveOrganization· Community/Behavioral Health· Farmington, NM

Community/Behavioral Health in Farmington, New Mexico, registered in NPPES in July 2012. The authorized official on file is Nicole Deherrera, LMSW, Program Director.

Overview

NPI1538414727
StatusActive
Entity typeOrganization
NPI issuedJul 13, 2012
Last updated in NPPESJul 13, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Community/Behavioral Health Primary251S00000XM-07674NM

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Community/Behavioral Health providers in Farmington

All Community/Behavioral Health providers in New Mexico →