Provider Demographics
NPI:1922476084
Name:INSIGHT EDUCATIONAL SERVICES
Entity Type:Organization
Organization Name:INSIGHT EDUCATIONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:BAKOS
Authorized Official - Suffix:
Authorized Official - Credentials:EDD/PHD
Authorized Official - Phone:505-577-7511
Mailing Address - Street 1:1000 CORDOVA PL
Mailing Address - Street 2:#402
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-1725
Mailing Address - Country:US
Mailing Address - Phone:505-471-7511
Mailing Address - Fax:
Practice Address - Street 1:2155 CANDELERO ST
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-5649
Practice Address - Country:US
Practice Address - Phone:505-577-7511
Practice Address - Fax:505-473-2812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-07
Last Update Date:2015-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM206191251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM206191OtherNMPED