Banyan Tree Mind & Wellness LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BANYAN TREE MIND & WELLNESS LLC

Practice address

1740 Grande Blvd SE Ste B2
Rio Rancho, NM 87124-1799

Phone

(505) 551-5553

Fax

(949) 864-1692

NPI assigned

Apr 27, 2026

Organization subpart

No

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

Authorized official

Name

Mary Ruffaner Hanson, CNPNPI 1295578847

Title

Pmhnp-BC

Phone

(505) 551-5553

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 1

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

• Mary Ruffaner Hanson, CNP-BC (PMHNP)

  • Psychiatric/Mental Health Nurse Practitioner
  • Rio Rancho, NM
  • NPI 1295578847
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1215873690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 GRANDE BLVD SE STE B2",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241799",
            "telephone_number": "505-551-5553",
            "fax_number": "575-733-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 GRANDE BLVD SE STE B2",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241799",
            "telephone_number": "505-551-5553",
            "fax_number": "949-864-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANYAN TREE MIND & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "RUFFANER",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "505-551-5553",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giselle Del Carmen Bango, LMFT
• Gregory Banka, LPC
• Melissa Banks
• Stacie Banks, IBCLC
• Tyler Banta-Boyer
• Pramesh Baral, M
• Teanah Baray
• James M Barber, DC
• Angela M Barela
• Angela Barnes, MD

• Psychiatric/Mental Health Nurse Practitioner in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.