Justin F Beatty, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD2018-1001 Issued in NM

Practice address

2616 Mesilla St NE Ste 3
Albuquerque, NM 87110-3659

Phone

(505) 503-6300

NPI assigned

Apr 8, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chrysalis Healthcare LLCGroup PAC ID 6204246580, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chrysalis Healthcare LLC

  • Psychiatry Physician
  • Albuquerque, NM
  • NPI 1982219499
  Medicare reassignment Care Compare group NPD Authorized official
• Unm Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Albuquerque, NM
  • NPI 1831218627
  Medicare reassignment NPD
• Unm Medical Group, Inc.

  • Community/Retail Pharmacy
  • Albuquerque, NM
  • NPI 1417330044
  NPD
• TMS Physician Services, P.C.

  • Psychiatry Physician
  • Portland, OR
  • NPI 1881139913
  NPD

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1013303981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 MESILLA ST NE STE 3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103659",
            "telephone_number": "505-503-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 MESILLA ST NE STE 3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103659",
            "telephone_number": "505-503-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "JUSTIN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "MD2018-1001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO STATE TRAINING LICENSE",
            "identifier": "RS2015-0384",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO MEDICAL LICENSE",
            "identifier": "MD2018-1001",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cristina Beato
• Delaney Beattie
• Connie Beatty, RDH, MS
• Emmy Beatty
• Herbert M Beatty, D.C.
• Patsy Ann Beatty, RRT
• Don Isaac Beaucage, LADAC #3502
• Suzanne Beaucage, LISW
• Callie Dawn Beauchamp, AUD.
• Carla Beauchamp, SLP

• Psychiatry Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Psychiatry Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.