Desert Wise LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

1457 Issued in NM

Legal business name

DESERT WISE LLC

Practice address

1201 Eubank Blvd NE Ste 1
Albuquerque, NM 87112-5300

Phone

(505) 361-1957

Fax

(505) 369-1851

NPI assigned

Apr 30, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Joye L Henrie, PHDNPI 1316280480

Title

Owner

Phone

(505) 361-1957

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 1

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

• Joye L Henrie, PHD

  • Clinical Psychologist
  • Albuquerque, NM
  • NPI 1316280480

  NM

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1306334800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 EUBANK BLVD NE STE 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125300",
            "telephone_number": "505-361-1957",
            "fax_number": "505-369-1851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 EUBANK BLVD NE STE 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871125300",
            "telephone_number": "505-361-1957",
            "fax_number": "505-369-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT WISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "HENRIE",
        "authorized_official_first_name": "JOYE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-361-1957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NM",
            "license": "1457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Albuquerque, NM
• Adult Mental Health Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.