Organization Active NPI

Spectrum Health Hub LLC

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1477247583
Registry record updated Jan 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SPECTRUM HEALTH HUB LLC
Practice address
5909 Alice Ave NE
Albuquerque, NM 87110-6501
Phone
(505) 347-8507
NPI assigned
Jun 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2025

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

Authorized official

Name
Vincent Bett, PMHNPNPI 1740902766
Title
Executive/Clinical Direcror
Phone
(505) 347-8507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5909 Alice Ave NE
Albuquerque, NM 87110-6501

Mailing address

5909 Alice Ave NE
Albuquerque, NM 87110-6501
Phone (505) 347-8507

Other practice location 1

2000 S Colorado Blvd Ste 2000
Denver, CO 80222-7920
Phone (505) 347-8507

Other practice location 2

196 Hawthorn St
Dayton, OH 45402-8342
Phone (505) 347-8507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, AZ, CO, NM, NJ5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20231016003271 OH Part B Supplier - Clinic/Group Practice 6709231418 Receives reassigned benefits from 2 practitioners
Practice locations: Dayton, OH
O20241107002173 AZ Part B Supplier - Clinic/Group Practice 6709231418 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ
O20241107002447 CO Part B Supplier - Clinic/Group Practice 6709231418 Receives reassigned benefits from 2 practitioners
Practice locations: Colorado Springs, CO
O20241107003119 NM Part B Supplier - Clinic/Group Practice 6709231418 Receives reassigned benefits from 2 practitioners
Practice locations: Albuquerque, NM
O20241125004159 NJ Part B Supplier - Clinic/Group Practice 6709231418 Receives reassigned benefits from 1 practitioner
Practice locations: Marlton, NJ

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
32D2324564Spectrum Health Hub LLC5909 Alice Ave NE, Albuquerque, NM 87110Certificate of waiverMay 26, 2027

National Provider Directory

National Provider Directory

Locations

2955 New Center Pt
Ste 1187
Colorado Springs, CO 80922
Phone (505) 347-8507

6001 Menaul Blvd NE
Ste 1255
Albuquerque, NM 87110
Phone (505) 347-8507

6001 Menaul Blvd NE
#1255
Albuquerque, NM 87110

8666 Beechmont Ave
Cincinnati, OH 45255
Phone (937) 308-7074

15 McDonough St
Ste 518
Dayton, OH 45402
Phone (575) 921-7291

196 Hawthorn St
Dayton, OH 45402
Phone (505) 347-8507

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737763200000",
    "number": "1477247583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 ALICE AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106501",
            "telephone_number": "505-347-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 ALICE AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871106501",
            "telephone_number": "505-347-8507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 S Colorado Blvd Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802227920",
            "country_code": "US",
            "telephone_number": "505-347-8507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "196 Hawthorn St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454028342",
            "country_code": "US",
            "telephone_number": "505-347-8507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPECTRUM HEALTH HUB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2025-01-25",
        "certification_date": "2025-01-25",
        "status": "A",
        "authorized_official_last_name": "BETT",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "EXECUTIVE/CLINICAL DIRECROR",
        "authorized_official_telephone_number": "505-347-8507",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2025; 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.