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Organization Active NPI

Unm Hospital

  • Psychiatric Hospital Unit
  • Albuquerque, NM
National Provider Identifier
1447464664
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
6005 Issued in NM
Legal business name
UNM HOSPITAL
Practice address
2600 Marble Ave., N.E.
Albuquerque, NM 87106-2058
Phone
(505) 272-2861
Fax
(505) 272-2016
NPI assigned
May 9, 2007
Organization subpart
Yes
Parent organization
UNM HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Bonnie Marie White
Title
Chief Financial Officer
Phone
(505) 272-1840

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X NM-10004-M NM
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Psychiatric Hospital Unit 273R00000X
Psychiatric Hospital Unit 273R00000X 6005 NM Primary

Addresses

Primary practice location

2600 Marble Ave., N.E.
Albuquerque, NM 87106-2058

Mailing address

400 Tijeras Ave NW Ste 450
Albuquerque, NM 87102-3273
Phone (505) 272-4275

Other identifiers 2

IdentifierTypeStateIssuer
00092MedicaidNM
28350839MedicaidNM

Other names 2

  • UNMH Psychiatric Unit Doing business as
  • University Psychiatric Hosptial Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM2 enrollments
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080929000558 NM Part A Provider - Hospital 7618889528 1 other NPI on this enrollment
Practice locations: Albuquerque, NM
O20200221000778 NM Part B Supplier - Opioid Treatment Program (Otp) 7618889528 1 other NPI on this enrollment
Practice locations: Albuquerque, NM

Hospital certification: CCN 32S001

Legal name
UNM HOSPITAL
Doing business as
UNMH PSYCHIATRIC HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
2600 Marble Ave NE
Albuquerque, NM 87106-2058
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

All disclosed owners & managing parties 16

Medicare enrollment files

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

NameRoleSinceShare
Julie Morgas-Baca Individual Corporate OfficerBoard Member Aug 19, 2025
Carl Hammond Individual Corporate DirectorBoard Member Oct 1, 2020
Monica Zamora Individual Corporate DirectorBoard Member Jan 1, 2022
Jeffrey Schultz Individual W-2 Managing EmployeeSenior Reimbursement Analyst Jan 21, 2025
Bonnie Marie White Individual Corporate OfficerChief Financial Officer Dec 17, 2018
W-2 Managing EmployeeChief Financial Officer Dec 17, 2018
Michael Chicarelli Individual Corporate OfficerChief Operating Officer Dec 1, 2018
W-2 Managing EmployeeChief Operating Officer Dec 1, 2018
Anjali Taneja Individual Corporate DirectorBoard Member Jul 1, 2024
Wilfred Herrera Individual Corporate DirectorBoard Member Jan 1, 2026
Alisha N Parada Individual Corporate DirectorBoard Member Jan 1, 2026
Kathleen R Becker Individual Corporate OfficerCeo Jul 15, 2018
W-2 Managing EmployeeCeo Jul 15, 2018
Henry Monroy Individual Corporate DirectorBoard Member Jul 1, 2023
Kurt Matthew Riley Individual Corporate DirectorBoard Member Feb 1, 2020
Erik Jerome Lujan Individual Corporate DirectorBoard Member Jan 1, 2026
Mark Anthony Trujillo Individual W-2 Managing EmployeeManager of Reimb & Provider Enr Nov 6, 2017
Unm Hospital Organization, Albuquerque, NM Other Jan 1, 2022
Jody Melinda Harris Individual W-2 Managing EmployeeDir of Reimb / Prov Enrollment Aug 3, 1998

All facility ownership & control disclosures 2

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unm HospitalAlbuquerque, NM, CCN 320001 Hospital Other Jan 1, 2022
University Home Care HospiceAlbuquerque, NM, CCN 321511 Hospice Other Aug 1, 2022

National Provider Directory

National Provider Directory
Tax ID family
Unm Hospital27 organizations share this tax ID, including this one
Part of
Unm Hospital

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

2600 Marble Ave NE
#A
Albuquerque, NM 87106

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 1

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

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 406

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

View all 406

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1447464664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TIJERAS AVE NW STE 450",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023273",
            "telephone_number": "505-272-4275",
            "fax_number": "505-272-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 MARBLE AVE., N.E.",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062058",
            "telephone_number": "505-272-2861",
            "fax_number": "505-272-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNM HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNM HOSPITAL",
        "enumeration_date": "2007-05-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "505-272-1840"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NM",
            "license": "NM-10004-M",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NM",
            "license": "6005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00092",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28350839",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNMH Psychiatric Unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UNMH Psychiatric Unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University Psychiatric Hosptial",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.