Senior Psychcare of New Mexico, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SENIOR PSYCHCARE OF NEW MEXICO, LLC

Doing business as

Senior Psychcare of New Mexico, LLC

Practice address

1402 W Gilchrist Ave
Artesia, NM 88210-1134

Phone

(713) 850-0049

NPI assigned

Mar 7, 2023

Organization subpart

No

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

Authorized official

Name

Randall J Frapart

Title

Cfo

Phone

(713) 850-0049

Specialties & licenses 5

Addresses

Other names 1

• Senior Psychcare of New Mexico, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 3

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

• Victoria Forsberg

  • Family Nurse Practitioner
  • Ruidoso, NM
  • NPI 1255831210
  Medicare reassignment NPD
• Uchechi Sharon Dibia, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
  • NPI 1033995386

  NM, Psychiatry

  Medicare reassignment NPD
• Kristan Lea Bannister, FNP-BC, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • El Paso, TX
  • NPI 1093339178

  Family

  NPD

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1689374811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 SOUTHWEST FWY STE 635",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277112",
            "telephone_number": "713-850-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 W GILCHRIST AVE",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101134",
            "telephone_number": "713-850-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR PSYCHCARE OF NEW MEXICO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "FRAPART",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-850-0049"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Psychcare of New Mexico, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joe P Salgado, MD
• Adriana M Sanchez
• D. Ann Sanders, R.N.
• Susan Schneider
• Amy M Scroggin
• Senior Psychological Care of New Mexico, LLC
• Terah D Sexton, MS, PA-C
• Robert Le Alan Shaffer, FNP
• Debbie Lynn Shearman, OTA
• Shania Sheikh-Carrasco, MSN, FNP-C, MEP-C

• Psychiatry Physician in Artesia, NM
• Providers in Artesia, 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 Mar 7, 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.

Verify at the official NPI Registry.