Sunrise Neuro Behavioral LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SUNRISE NEURO BEHAVIORAL LLC

Practice address

1155 S Telshor Blvd Ste 205
Las Cruces, NM 88011-4788

Phone

(915) 433-2568

NPI assigned

Dec 5, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Diana Fancher

Title

Managing Partner

Phone

(915) 996-7223

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1607126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1285230391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 S TELSHOR BLVD STE 205",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114788",
            "telephone_number": "915-996-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 S TELSHOR BLVD STE 205",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114788",
            "telephone_number": "915-433-2568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "189 Howard Place",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880118139",
            "country_code": "US",
            "telephone_number": "915-433-2568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUNRISE NEURO BEHAVIORAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-05",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "FANCHER",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "915-996-7223",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EHR",
            "affiliation": "N",
            "endpointDescription": "Secure EHR",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Communication for Providers",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Medical",
            "address_1": "1155 S Telshor Blvd Ste 205",
            "city": "Las Cruces",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880114788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.