STATE OF NEW MEXICO (NPI# 1033302310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033302310 |
| Entity Type | Organization |
| Organization Name | STATE OF NEW MEXICO |
| Other Organization Name | NEW MEXICO BEHAVIORAL HEALTH INSTITUTE @ LAS VEGAS |
| Practice Address |
3695 Hot Springs Blvd Las Vegas NM 87701-9549 |
| Practice Telephone | 5054542100 |
| Mailing Telephone | 5054542100 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |
| Authorized Official Name | STEVE MARTINEZ (INTERIM ADMINISTRATOR) |
| Authorized Official Telephone | 5054542203 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 50724 | 05 |
| Other Name | Type Code |
|---|---|
| NEW MEXICO BEHAVIORAL HEALTH INSTITUTE @ LAS VEGAS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740659150 | State of New Mexico | Pharmacy | 41 Fort Bayard Rd, Santa Clara, NM 88026 | 2015-09-16 |
| 1457539322 | State of New Mexico | Public Health or Welfare | 2025 S Pacheco St, Santa Fe, NM 87505-3991 | 2008-02-04 |
| 1982730669 | State of New Mexico | Skilled Nursing Facility | 41 Fort Bayard Road, Santa Clara, NM 88026 | 2007-02-26 |
| 1578609459 | State of New Mexico | Public Health or Welfare | 605 Letrado, Santa Fe, NM 87505 | 2007-01-29 |
| 1508914896 | State of New Mexico | Case Management | 2040 S Pacheco St, Santa Fe, NM 87505-5472 | 2007-01-05 |
| 1942287370 | State of New Mexico | Skilled Nursing Facility | 992 S Broadway, Truth Or Consequences, NM 87901-3198 | 2005-12-28 |
| 1578075016 | State of New Mexico | Special Hospital | 72 Gail Harris St, Roswell, NM 88203-8116 | 2017-10-24 |
| 1518294107 | State of New Mexico | Psychiatric Hospital | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2009-11-03 |
| 1578730230 | State of New Mexico | Skilled Nursing Facility | 992 S Broadway, Truth Or Consequences, NM 87901-3198 | 2008-05-13 |
| 1972784544 | State of New Mexico | Public Health or Welfare | 605 Letrado, Santa Fe, NM 87505 | 2007-11-23 |
| Street Address |
3695 HOT SPRINGS BLVD |
| City | LAS VEGAS |
| State | NM |
| Zip Code | 87701-9549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114916319 | New Mexico Behavioral Health Institute | Nursing Facility/Intermediate Care Facility | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2005-10-19 |
| 1871156208 | Jessica Espinoza | Registered Nurse | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2019-04-22 |
| 1447713342 | Julie Ruby Esquibel | Registered Nurse | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2019-04-09 |
| 1073085791 | Amanda Gonzales | Social Worker | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2018-12-19 |
| 1831664853 | Raquel Trujillo | Counselor | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2018-10-05 |
| 1063991057 | Lonnie C Lucero | Case Manager/Care Coordinator | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2018-08-09 |
| 1992290423 | Katie Hettinger | Case Manager/Care Coordinator | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2018-06-27 |
| 1467967190 | Andrew P Valdez | Case Manager/Care Coordinator | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2017-12-04 |
| 1639600208 | Larence Sanchez | Registered Nurse | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2017-03-24 |
| 1457895591 | Maria Gallardo | Registered Nurse | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2016-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851884423 | Nueva Vida Counseling and Consulting Services LLC | Community/Behavioral Health | Nueva Vida Counseling & Consulting Services LLC, 1920 7th Street, Las Vegas, NM 87701 | 2018-06-08 |
| 1316475403 | El Centro Family Health | Family Medicine | 475 Legion Dr., Las Vegas, NM 87701 | 2017-06-01 |
| 1700327384 | Anastacia Sena Jaramillo | Psychologist | 126 Silva Ave., Las Vegas, NM 87701 | 2017-03-15 |
| 1013369222 | Home Medical Equipment Specialists,llc | Durable Medical Equipment & Medical Supplies | 514 8th Street, Las Vegas, NM 87701 | 2016-07-12 |
| 1750730826 | John Michael Tourangeau | Social Worker | 1920 7th Street, Las Vegas, NM 87701 | 2016-06-08 |
| 1154705689 | Lindsy Laura Kragt Allen | Podiatrist | 1608 7th St, Las Vegas, NM 87701 | 2015-07-14 |
| 1023409521 | Ambercare Medical Supply | Durable Medical Equipment & Medical Supplies | 1747 N Grand Ave, Las Vegas, NM 87701 | 2015-02-05 |
| 1538561964 | El Centro Family Health | Clinic/Center | 947 Old National Road, Las Vegas, NM 87701 | 2014-09-17 |
| 1164832150 | Plaza Drugs | Pharmacist | 178 Bridge St, Las Vegas, NM 87701 | 2014-04-30 |
| 1043648165 | Open Doors Home Health Care | Home Health | 713 Railroad Ave., Las Vegas, NM 87701 | 2013-10-29 |
| Find all providers in zip 87701 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962054007 | The Strong Behavioral Health Group | Psychiatry & Neurology | 7100 Grand Montecito Pkwy Unit 4043, Las Vegas, NV 89149-0279 | 2019-07-09 |
| 1497223432 | Desert Behavioral Solutions LLC | Psychiatry & Neurology | 2121 E Flamingo Rd Ste 204, Las Vegas, NV 89119-5124 | 2018-11-07 |
| 1053814517 | Huntridge Family Clinic Foundation Dba Prism Health Services Foundatio | Psychiatry & Neurology | 7670 West Sahara Ave, Suite B, Las Vegas, NV 89117 | 2018-03-12 |
| 1184132375 | Nevada Psychiatric Solutions Clinic, LLC | Psychiatry & Neurology | 2121 E Flamingo Rd Ste 108, Las Vegas, NV 89119-5123 | 2018-01-22 |
| 1891205340 | Nevada Tms LLC | Psychiatry & Neurology | 7391 Prairie Falcon Rd Ste 150b, Las Vegas, NV 89128-0815 | 2017-10-10 |
| 1841721917 | Deepa Hasija Md Pllc | Psychiatry & Neurology | 4000 S Eastern Ave Ste 125, Las Vegas, NV 89119-0814 | 2017-03-21 |
| 1174973382 | Asma Farooq | Psychiatry & Neurology | 8845 W Flamingo Rd Ste 210, Las Vegas, NV 89147-8745 | 2016-06-18 |
| 1245609957 | Cynthia White | Psychiatry & Neurology | 9435 S Tenaya Way # B, Las Vegas, NV 89178-9237 | 2015-09-23 |
| 1629464243 | Mohamed Sharif | Psychiatry & Neurology | 9003 Greek Palace Ave, Las Vegas, NV 89178 | 2015-04-10 |
| 1689069585 | Ejine Okoroafor Md Ltd | Psychiatry & Neurology | 20 Meadowhawk Ln, Las Vegas, NV 89135-5201 | 2015-03-30 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.