Organization Active NPI

Besito Mental Healthcare of New Mexico, LLC

  • Community/Behavioral Health Agency
  • Belen, NM
National Provider Identifier
1073949376
Registry record updated Sep 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
I-07362 Issued in NM
Legal business name
BESITO MENTAL HEALTHCARE OF NEW MEXICO, LLC
Practice address
1300B E River Rd
Belen, NM 87002-7426
Phone
(505) 967-9975
NPI assigned
Sep 18, 2013
Last updated
Sep 18, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
BESITO MENTAL HEALTHCARE OF NEW MEXICO, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2013

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

Authorized official

Name
Miss Brandy L Samaniego, LISW
Title
Owner
Phone
(505) 967-9975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X I-07362 NM Primary

Addresses

Primary practice location

1300B E River Rd
Belen, NM 87002-7426

Mailing address

27 Cruces Loop
Los Lunas, NM 87031-0015
Phone (505) 967-9975

National Provider Directory

National Provider Directory
Tax ID family
Besito Mental Healthcare of New Mexico LLC2 organizations share this tax ID, including this one
Part of
Besito Mental Healthcare of New Mexico LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379462400000",
    "number": "1073949376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CRUCES LOOP",
            "city": "LOS LUNAS",
            "state": "NM",
            "postal_code": "870310015",
            "telephone_number": "505-967-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300B E RIVER RD",
            "city": "BELEN",
            "state": "NM",
            "postal_code": "870027426",
            "telephone_number": "505-967-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESITO MENTAL HEALTHCARE OF NEW MEXICO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BESITO MENTAL HEALTHCARE OF NEW MEXICO, LLC",
        "enumeration_date": "2013-09-18",
        "last_updated": "2013-09-18",
        "status": "A",
        "authorized_official_last_name": "SAMANIEGO",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-967-9975",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "I-07362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belen, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.