New Mexico Behavioral Healthcare LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

Legal business name

NEW MEXICO BEHAVIORAL HEALTHCARE LLC

Practice address

1801 Randolph Rd SE
Albuquerque, NM 87106-4230

Phone

(702) 595-2995

NPI assigned

May 10, 2023

Organization subpart

No

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

Authorized official

Name

Juanita J Widener

Title

Billing Supervisor

Phone

(505) 262-6588

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Hospital certification: CCN 324015

Legal name

NEW MEXICO BEHAVIORAL HEALTHCARE LLC

Certification status

Active

Provider type (POS)

Hospital – Psychiatric

Participating since

Feb 5, 2025

Last certification

Feb 5, 2025

Beds

12

Ownership / control type

Private (for profit)

Organization structure

LLCProprietary

Enrollment address

1801 Randolph Rd SE
Albuquerque, NM 87106-4230
Main/Primary Hospital Location

Hospital subgroups

Psychiatric

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

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rene Gonzalez, MD

  • Psychiatry Physician
  • Albuquerque, NM
  • NPI 1659512309
  NPD (past)
• Peter K. Sangra, MD

  • Psychiatry Physician
  • Santa Teresa, NM
  • NPI 1265873947
  NPD (past)

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1033809256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 RANDOLPH RD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064230",
            "telephone_number": "702-595-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 RANDOLPH RD SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064230",
            "telephone_number": "702-595-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO BEHAVIORAL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "WIDENER",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "505-262-6588"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric Hospital in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Psychiatric Hospital in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.