Active NPI
Desert Willow Behavioral Health, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Alamogordo, NM
National Provider Identifier
1104693902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Manuel Zavala, DNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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 DirectoryLocations
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.
-
- Family Nurse Practitioner
- Las Cruces, NM
- NPI 1730540261
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.