Provider Demographics
NPI:1740266097
Name:THE PROMPT INSTITUTE
Entity type:Organization
Organization Name:THE PROMPT INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:
Authorized Official - Last Name:SORTINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-466-7710
Mailing Address - Street 1:4001 OFFICE COURT DRIVE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87507
Mailing Address - Country:US
Mailing Address - Phone:505-466-7701
Mailing Address - Fax:504-466-7714
Practice Address - Street 1:4001 OFFICE CT
Practice Address - Street 2:SUITE 305
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-4929
Practice Address - Country:US
Practice Address - Phone:505-466-7701
Practice Address - Fax:504-466-7714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM90929235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM58458883Medicaid