Route 66 Psychiatry LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ROUTE 66 PSYCHIATRY LLC

Practice address

2917 Santa Clara Ave SE
Albuquerque, NM 87106-2946

Phone

(505) 226-1665

NPI assigned

Jun 25, 2026

Organization subpart

No

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

Authorized official

Name

Peter Shenk Koontz, PMHNP-BC

Title

Owner

Phone

(505) 226-1665

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1782345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1275459232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2917 SANTA CLARA AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062946",
            "telephone_number": "505-226-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 SANTA CLARA AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062946",
            "telephone_number": "505-226-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUTE 66 PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "SHENK KOONTZ",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-226-1665",
        "authorized_official_credential": "PMHNP-BC"
    },
    "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": []
}

• Linda G Rouse, M.S., CCC-SLP
• Glenn S. Roush, M.D.
• Timothy Arthur Rousseau, PA
• Michael E Roussel, DMD
• Alicia M Roussin, DR.
• Christopher A Roveto, M.D.
• Alexander Roy Harding Rowan, MD
• Rose Rowan, NURSE PRACTITIONER
• Amy Rowe
• Sandra Lee Rowe, PMHNP

• Psychiatric/Mental Health Nurse Practitioner in Albuquerque, NM
• Providers in Albuquerque, 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 Jun 25, 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.