Individual provider Active NPI

Caroline Cruz-Ortiz, M.D.

  • Psychiatry Physician
  • Albuquerque, NM
National Provider Identifier
1457627358
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME118883 Issued in FL
Practice address
5951 Jefferson St NE Ste C
Albuquerque, NM 87109-3450
Phone
(505) 247-4900
NPI assigned
Mar 26, 2012
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD2023-1653 NM
Psychiatry Physician 2084P0800X ME118883 FL Primary

Addresses

Primary practice location

5951 Jefferson St NE Ste C
Albuquerque, NM 87109-3450

Mailing address

5951 Jefferson St NE Ste C
Albuquerque, NM 87109-3450
Phone (786) 200-8851

Other names 1

  • Caroline Cruz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230713001279 FL Practitioner - Psychiatry 6002030483
I20240129004569 NM Practitioner - Psychiatry 6002030483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Neuropsychology and Behavioral Health, LLCGroup PAC ID 9638353170, 12 clinicians

Practice addresses (Care Compare)

5951 Jefferson St NE
Suite C
Albuquerque, NM 87109-3450
Phone (505) 247-4900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2023-1653NMMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC Psychiatry CurrentSince Apr 4, 2023 Accepting new patients
Southwest Neuropsychology and Behavioral Health, LLC CurrentSince Jan 9, 2024 Accepting new patients
House Calls of New Mexico LLC CurrentSince Jan 9, 2024 Accepting new patients

Locations

5951 Jefferson St NE
Ste C
Albuquerque, NM 87109
Phone (505) 247-4900

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1457627358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5951 JEFFERSON ST NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093450",
            "telephone_number": "786-200-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5951 JEFFERSON ST NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093450",
            "telephone_number": "505-247-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-ORTIZ",
        "first_name": "CAROLINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-26",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "MD2023-1653",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME118883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "CRUZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.