Winds of Change Mental Health Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

WINDS OF CHANGE MENTAL HEALTH SERVICES, LLC

Practice address

200 N 1St St Ste B
Grants, NM 87020-3905

Phone

(505) 290-4551

Fax

(505) 658-2398

NPI assigned

Jul 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Renee H Wilkins, PSYD

Title

Owner

Phone

(505) 290-4551

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1548677669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 178",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870200178",
            "telephone_number": "505-290-4551",
            "fax_number": "505-658-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 1ST ST STE B",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870203905",
            "telephone_number": "505-290-4551",
            "fax_number": "505-658-2398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 E Terrace Dr",
            "address_purpose": "LOCATION",
            "city": "Grants",
            "state": "NM",
            "postal_code": "870203903",
            "country_code": "US",
            "telephone_number": "505-290-4551",
            "fax_number": "505-658-2398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WINDS OF CHANGE MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2023-03-30",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-290-4551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NM",
            "license": "0034",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "88435555",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa L War
• Beth Marie Wengert, RN
• Tammy L. White, LMSW
• Wilma Beverly White, OTA
• Renee H Wilkins, PSY. D., MP
• Rebecca Irene Woody, LPCC
• Amy Lynn Yates
• Dorcas Ann Yates, RN CFNP
• Tracy Zamora
• John Joseph Zarola, CRNA

• Clinical Psychologist in Grants, NM
• Providers in Grants, NM by specialty
• Clinical Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.