Organization Active NPI

Desert Willow Behavioral Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Alamogordo, NM
National Provider Identifier
1104693902
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
DESERT WILLOW BEHAVIORAL HEALTH, LLC
Practice address
930 12TH St Unit 670
Alamogordo, NM 88311-5828
Phone
(575) 250-3130
Fax
(575) 993-5106
NPI assigned
Dec 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Dr. Michael Manuel Zavala, DNPNPI 1730540261
Title
Doctor of Nursing Practice
Phone
(575) 250-3130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

930 12TH St Unit 670
Alamogordo, NM 88311-5828

Mailing address

930 12TH St Unit 670
Alamogordo, NM 88311-5828
Phone (575) 250-3130

National Provider Directory

National Provider Directory

Locations

930 12th St
Unit 670
Alamogordo, NM 88311
Phone (575) 250-3130

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1104693902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 12TH ST UNIT 670",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883115828",
            "telephone_number": "575-250-3130",
            "fax_number": "575-993-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 12TH ST UNIT 670",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883115828",
            "telephone_number": "575-250-3130",
            "fax_number": "575-993-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT WILLOW BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-11",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "ZAVALA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "DOCTOR OF NURSING PRACTICE",
        "authorized_official_telephone_number": "575-250-3130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.