Provider Demographics
NPI:1033883830
Name:STARKEY INTEGRATIVE PSYCHIATRY LLC
Entity Type:Organization
Organization Name:STARKEY INTEGRATIVE PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIC NURES PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:STARKEY
Authorized Official - Suffix:
Authorized Official - Credentials:DNP PMHNP-BC
Authorized Official - Phone:505-807-3086
Mailing Address - Street 1:7007 WYOMING BLVD NE STE F1
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-3983
Mailing Address - Country:US
Mailing Address - Phone:505-807-3086
Mailing Address - Fax:
Practice Address - Street 1:7007 WYOMING BLVD NE STE F1
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-3983
Practice Address - Country:US
Practice Address - Phone:505-795-5997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-04
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty