NPIMap

Organization Active NPI

Behavioral Health Services of New Mexico LLC

Doing business as Central Desert Behavioral Health Center

  • Psychiatric Hospital
  • Albuquerque, NM
National Provider Identifier
1427330679
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
BEHAVIORAL HEALTH SERVICES OF NEW MEXICO LLC
Doing business as
Central Desert Behavioral Health Center
Central Desert Behavioral Health Hospital
Practice address
1525 N Renaissance Blvd NE
Albuquerque, NM 87102-6827
Phone
(505) 243-3387
NPI assigned
Sep 14, 2011
Last updated
Jun 11, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Kelley Whitaker
Title
Ceo
Phone
(505) 243-3387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NU Primary

Addresses

Primary practice location

1525 N Renaissance Blvd NE
Albuquerque, NM 87102-6827

Mailing address

1525 N Renaissance Blvd NE
Albuquerque, NM 87102-6827
Phone (505) 243-3387

Other identifiers 2

IdentifierTypeStateIssuer
15870855MedicaidNM
45-5996OtherMEDICARE PART B

Other names 2

  • Central Desert Behavioral Health Center Doing business as
  • Central Desert Behavioral Health Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120928000173 NM Part A Provider - Hospital 1153570544 Practice locations: Albuquerque, NM
O20151202000115 NM Part B Supplier - Clinic/Group Practice 1153570544 Receives reassigned benefits from 26 practitioners
1 other NPI on this enrollment
Practice locations: Albuquerque, NM

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427330679. Details of each certification follow.

Hospital certification: CCN 324014

Legal name
BEHAVIORAL HEALTH SERVICES OF NEW MEXICO LLC
Doing business as
CENTRAL DESERT BEHAVIORAL HEALTH HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Aug 20, 2013
Last certification
Oct 2, 2025
Beds
64
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Jan 21, 2010 in DE
Enrollment address
1525 N Renaissance Blvd NE
Albuquerque, NM 87107-6827
Main/Primary Hospital Location
Hospital subgroups
Psychiatric

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Central Desert Behavioral Health HospitalCCN 324014 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2043604Behavioral Health Services of New Mexico LLC1525 N Renaissance Blvd NE, Albuquerque, NM 87107Certificate of waiverJul 5, 2028

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Behavioral Health Services LLC Organization, Sparks, MD For-profit 5% Or Greater Direct Ownership Interest Jan 21, 2010 100%
Kelley Whitaker Individual Corporate OfficerCeo Nov 29, 2016
W-2 Managing EmployeeCeo Nov 29, 2016
Jayne McDonnell Individual W-2 Managing EmployeeBom May 11, 2015
Hunt Valley Holdings LLC Organization, Sparks, MD For-profit 5% Or Greater Indirect Ownership Interest Jan 21, 2010 100%

Facilities with the same owner 40

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 40

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1427330679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 N RENAISSANCE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871026827",
            "telephone_number": "505-243-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 N RENAISSANCE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871026827",
            "telephone_number": "505-243-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL HEALTH SERVICES OF NEW MEXICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-14",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-243-3387"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15870855",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "45-5996",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Desert Behavioral Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Desert Behavioral Health Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.