WHITE MOUNTAIN WELLNESS LLC (NPI# 1679054118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679054118 |
| Entity Type | Organization |
| Organization Name | WHITE MOUNTAIN WELLNESS LLC |
| Other Organization Name | WHITE MOUNTAIN WELLNESS LLC |
| Practice Address |
159 Mescalero Trl Ste 5 Ruidoso NM 88345-6089 |
| Mailing Address |
Po Box 655 Ruidoso NM 88355-0655 |
| Practice Telephone | 5759373688 |
| Mailing Telephone | 8443375283 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |
| Authorized Official Name | BRETT NICHOLS (GENERAL MANAGER) |
| Authorized Official Telephone | 5759373688 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 0055C | NM | Hospital Units |
| Other Name | Type Code |
|---|---|
| White Mountain Wellness LLC | Doing Business As Name - Organization |
| Street Address |
159 MESCALERO TRL STE 5 |
| City | RUIDOSO |
| State | NM |
| Zip Code | 88345-6089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295386373 | Angela Louise Chavez | Physical Therapy Assistant | 143 El Paseo Road, Ruidoso, NM 88345 | 2019-09-20 |
| 1740744630 | Aspen Creek Counseling, PC | Community/Behavioral Health | 212 Hidalgo St, Ruidoso, NM 88345 | 2019-01-25 |
| 1659729960 | Clinical Counseling, Rebekah Stephens LLC | Community/Behavioral Health | 105 Socorro Circle, Ruidoso, NM 88345 | 2016-05-26 |
| 1013288208 | Emily Jane Fleming | Counselor | 2904 Sudderth Dr, Ruidoso, NM 88345 | 2012-01-19 |
| 1376810572 | Ronald Lee Annala | Specialist | 101 Annala Lane, Ruidoso, NM 88345 | 2011-11-17 |
| 1801171731 | Felicia Yelena Fontenot | Dentist | 127 El Paso Road, Ruidoso, NM 88345 | 2011-10-11 |
| 1497072730 | Richard G Leveque | Counselor | 206 Porr Dirve, Ruidoso, NM 88345 | 2010-04-27 |
| 1871827899 | Delcia Maurice Gudgel | Counselor | 1400 Sudderth Drive, La Frontera, Ruidoso, NM 88345 | 2009-09-23 |
| 1740413541 | Yolanda Nelson | Case Manager/Care Coordinator | 208 Sudderth Dr, Ruidoso, NM 88345 | 2009-08-26 |
| 1164697280 | Elizabeth Urban Candelaria | Social Worker | 1400 Sudderth Dr., Ruidoso, NM 88345 | 2008-04-29 |
| Find all providers in zip 88345 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649446089 | University of New Mexico | Psychiatric Unit | Department of Psychiatry Som Msc09 5030, Univeristy of New Mexico, Albuquerque, NM 87131-0001 | 2008-05-06 |
| 1801296900 | Va Hospital | Psychiatric Unit | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2014-08-26 |
| 1669736328 | Mmc Cancer Center | Psychiatric Unit | 2530 S Telshor Blvd Ste 201, Las Cruces, NM 88011-4975 | 2012-06-27 |
| 1912238965 | Heather Mcculloch, Lmft, LLC | Psychiatric Unit | 190 Central Park Sq, Suite 216, Los Alamos, NM 87544-4001 | 2010-01-14 |
| 1518137041 | Lovelace Health System Inc | Psychiatric Unit | 601 Martin Luther King Ave Ne, Albuquerque, NM 87102-3619 | 2008-03-12 |
| 1982805222 | Artesia General Hospital | Psychiatric Unit | 702 N 13th St, Artesia, NM 88210-1166 | 2007-05-31 |
| 1619094109 | Gila Regional Medical Center | Psychiatric Unit | 1313 E 32nd St, Silver City, NM 88061 | 2007-03-22 |
| 1619002300 | Unm Hospital | Psychiatric Unit | 1001 Yale Blvd Ne, Albuquerque, NM 87106-3825 | 2007-02-22 |
| 1154477941 | St. Vincent Hospital | Psychiatric Unit | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2007-01-26 |
| 1881742161 | University Psychiatric Hospital-ip | Psychiatric Unit | 2600 Marble Ave Ne, Albuquerque, NM 87106-2058 | 2007-01-05 |
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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.