Active NPI
High Desert Behavioral Health LLC
Doing business as Mindful Medication Management
- Family Medicine Physician
- Farmington, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HIGH DESERT BEHAVIORAL HEALTH LLC
- Doing business as
- Mindful Medication Management
- Practice address
- 3510 Messina Dr
Farmington, NM 87402-4782 - Phone
- (505) 591-0636
- NPI assigned
- Aug 7, 2023
- Last updated
- Sep 25, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kaylene Cribbs, CNP
- Title
- Owner
- Phone
- (505) 591-0636
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3510 Messina Dr
Farmington, NM 87402-4782
Mailing address
3510 Messina Dr
Farmington, NM 87402-4782
Phone (505) 591-0636
Other names 1
- Mindful Medication Management
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3510 Messina Dr
Farmington, NM 87402
Phone (505) 320-5553
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Farmington, NM
- NPI 1245527837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695600000000",
"number": "1508548850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3510 MESSINA DR",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874024782",
"telephone_number": "505-591-0636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3510 MESSINA DR",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874024782",
"telephone_number": "505-591-0636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGH DESERT BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-07",
"last_updated": "2023-09-25",
"certification_date": "2023-09-23",
"status": "A",
"authorized_official_last_name": "CRIBBS",
"authorized_official_first_name": "KAYLENE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-591-0636",
"authorized_official_credential": "CNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mindful Medication Management",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.