Individual provider Active NPI

Mary Hasbah Roessel, M.D.

  • Psychiatry Physician
  • Santa Fe, NM
National Provider Identifier
1194900340
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
89-288 Issued in NM
Practice address
1035 Alto St
Santa Fe, NM 87501-2406
Phone
(505) 982-4425
Fax
(505) 982-8440
NPI assigned
Jan 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 89-288 NM Primary

Addresses

Primary practice location

1035 Alto St
Santa Fe, NM 87501-2406

Mailing address

1035 Alto St
Santa Fe, NM 87501-2406
Phone (505) 982-4425

Other practice location 1

455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 982-4425

Other practice location 2

1532 Cerrillos Rd Ste B
Santa Fe, NM 87505-3512
Phone (505) 982-4425

Other practice location 3

2145 Caja Del Oro Grant Rd
Santa Fe, NM 87507-3279
Phone (505) 982-4425

Other identifiers 1

IdentifierTypeStateIssuer
1992782650MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130705000248 NM Practitioner - Psychiatry 2163662677 Reassigns benefits to 1 organization
I20140718001148 TX Practitioner - Psychiatry 2163662677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Minnesota Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Familia Medical CenterGroup PAC ID 4082601026, shared by 4 NPIs, 30 clinicians
Santa Fe Indian HospitalGroup PAC ID 7719883289, 19 clinicians

Practice addresses (Care Compare)

1035 Alto St
Santa Fe, NM 87501-2406
Phone (505) 982-4425

1700 Cerrillos Rd
Santa Fe, NM 87505-3026
Phone (505) 946-9206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Fe Indian Hospital CurrentSince Jul 1, 2001 Accepting new patients
La Familia Medical Center CurrentSince Dec 11, 2013 Accepting new patients
La Familia Medical Center CurrentSince Dec 11, 2013 Accepting new patients
Cochiti Health Clinic Past Accepting new patients
San Felipe Health Clinic Past Accepting new patients
Catalina M Perez-Lacey MD PA Psychiatry Past Accepting new patients
Santo Domingo Health Clinic Past Accepting new patients

Locations

400 State Road 30
Espanola, NM 87532
Phone (505) 753-8393

1700 Cerrillos Rd
Santa Fe, NM 87505
Phone (505) 946-9206

1035 Alto St
Santa Fe, NM 87501
Phone (505) 982-4425

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1194900340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 ALTO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012406",
            "telephone_number": "505-982-4425",
            "fax_number": "505-982-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 ALTO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012406",
            "telephone_number": "505-982-4425",
            "fax_number": "505-982-8440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Saint Michaels Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875057601",
            "country_code": "US",
            "telephone_number": "505-982-4425",
            "fax_number": "505-982-8440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1532 Cerrillos Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875053512",
            "country_code": "US",
            "telephone_number": "505-982-4425",
            "fax_number": "505-982-8440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2145 Caja Del Oro Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875073279",
            "country_code": "US",
            "telephone_number": "505-982-4425",
            "fax_number": "505-982-8440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROESSEL",
        "first_name": "MARY",
        "middle_name": "HASBAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "89-288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992782650",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.