Mentis Neuro El Paso, LLC

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

Legal business name

MENTIS NEURO EL PASO, LLC

Doing business as

Mentis Neuro Health

Practice address

4360 Doniphan Drive
El Paso, TX 79922

Phone

(915) 351-4441

NPI assigned

Jun 15, 2007

Last updated

Sep 8, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark L. Quigley

Title

Chief Operating Officer

Phone

(713) 864-8996

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mentis Neuro Health Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin Shahabi-Azad, MD

  • Physical Medicine & Rehabilitation Physician
  • El Paso, TX
  • NPI 1821483660
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1013112549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 WEST LOOP SOUTH",
            "address_2": "STE. 410",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013519",
            "telephone_number": "713-820-4200",
            "fax_number": "713-820-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 DONIPHAN DRIVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79922",
            "telephone_number": "915-351-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTIS NEURO EL PASO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "QUIGLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "713-864-8996"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "HH005B",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mentis Neuro Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marine Menez, PT
• Nancy Menjivar-Magana, OTR
• Jose Arturo Menjivar, CRT
• Mental Health in Color, PLLC
• Mentil, LLC
• Fernand Xavier Mentor, MD
• Brenda Meraz
• Renee Meraz
• Sarahy Meraz
• Victoria Alexandra Meraz, PA-C

• Physical Disabilities Residential Treatment Facility in El Paso, TX
• Providers in El Paso, TX by specialty
• Physical Disabilities Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.