Mentele Healthy LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

MENTELE HEALTHY LLC

Practice address

5035 Copper Bar Rd
Las Cruces, NM 88011-9391

Phone

(520) 329-2341

Fax

(680) 766-1757

NPI assigned

May 15, 2024

Organization subpart

No

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

Authorized official

Name

Lydia Marie Hammond, PMHNPNPI 1881910859

Title

Owner/Provider

Phone

(520) 329-2341

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 2

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

• Lydia Marie Hammond, PMHNP-BC, CNM

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Cruces, NM
  • NPI 1881910859
  Medicare reassignment Authorized official
• Robert E Biedermann, DO

  • Physical Medicine & Rehabilitation Physician
  • Las Cruces, NM
  • NPI 1154420115
  NPD (past)

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1245089093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 COPPER BAR RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880119391",
            "telephone_number": "520-329-2341",
            "fax_number": "680-766-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 COPPER BAR RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880119391",
            "telephone_number": "520-329-2341",
            "fax_number": "680-766-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTELE HEALTHY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "520-329-2341",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yuridia Mendoza, M.A.,CCC-SLP
• Dale Menges, RPHD
• Neeraja Menon
• Mental Health Services of Dona Ana County
• Mental Health Wellness Center LLC
• Camilo Mera
• Meraz Family Health LLC
• Hector Jonathan Meraz, CSW
• Jacqueline M Meraz
• Rosa Lilia Meraz, FNP

• Medical Specialty Clinic/Center in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Medical Specialty Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.