Southwest Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SOUTHWEST PSYCHIATRY PLLC

Practice address

5805 McNutt Rd
Santa Teresa, NM 88008-8001

Phone

(915) 244-4966

NPI assigned

Jun 5, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Bustillos, DNPNPI 1881182160

Title

Pmhnp

Phone

(915) 244-4966

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM, TX2 enrollments

Enrollment records 2

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

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Daniel Bustillos, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
  • NPI 1881182160

  NM

  Medicare reassignment Authorized official
• Juan Pablo Hernandez, GUIDANCE/COUNCELOR

  • Professional Counselor
  • Sunland Park, NM
  • NPI 1457657157

  TX

  Medicare reassignment NPD
• Blanca Alicia Garcia

  • Professional Counselor
  • Las Cruces, NM
  • NPI 1982253399
  Medicare reassignment
• Russell A Schweiger, LCSW

  • Clinical Social Worker
  • Santa Teresa, NM
  • NPI 1659335990
  Medicare reassignment
• Phillip Plemons

  • Psychiatric/Mental Health Nurse Practitioner
  • Birmingham, AL
  • NPI 1871840199

  NM

  Medicare reassignment

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1427616259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 WHIRL AWAY DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367836",
            "telephone_number": "915-244-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 MCNUTT RD",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880088001",
            "telephone_number": "915-244-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "BUSTILLOS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "915-244-4966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "AP140763",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "AP55389",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Lee Smith
• Peter Norman Smith, PSYD
• Nancy Sosa, APRN, FNP-C
• Ana Soto
• South West Medical Transport LLC
• Elvia Miroslava Stevens Bautista
• STF Dental
• Su Casa Health Care Services of New Mexico LLC (Su Casa Health Care of New Mexico)
• Sweet Bee Services LLC
• Tanya V Marin, PC (Santa Teresa Children's Night Clinic)

• Psychiatric/Mental Health Nurse Practitioner in Santa Teresa, NM
• Providers in Santa Teresa, 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 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.