Upper Valley Behavioral Health Corp.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

UPPER VALLEY BEHAVIORAL HEALTH CORP.

Practice address

5690 Santa Teresita Dr Ste A2
Santa Teresa, NM 88008-9211

Phone

(575) 332-4115

NPI assigned

Jan 15, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Albert Hernandez, PMHNP-BC

Title

Medical Director

Phone

(800) 675-6030

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• David Sebastian Hernandez

  • Behavior Technician
  • Santa Teresa, NM
  • NPI 1255020681
  NPD
• Justin Ramon Rodriguez

  • Behavior Technician
  • Santa Teresa, NM
  • NPI 1538858964
  NPD

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1689148389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5690 SANTA TERESITA DR STE A2",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089211",
            "telephone_number": "575-332-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5690 SANTA TERESITA DR STE A2",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089211",
            "telephone_number": "575-332-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER VALLEY BEHAVIORAL HEALTH CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "800-675-6030",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omar Torres, LCSW
• Santiago Torres III
• Javier Tosky
• Total Therapy Solutions LLC
• Giselle Trevizo-Duarte
• Jasmine Urena
• V & E Lab
• Adriana Valdes
• Fernando Valdez
• Valencia Healing at Home LLC

• Psychiatry Physician in Santa Teresa, NM
• Providers in Santa Teresa, NM by specialty
• Psychiatry Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.