NPIMap

Organization Active NPI

Peak Behavioral Health Services LLC

  • Psychiatric Hospital
  • Santa Teresa, NM
National Provider Identifier
1689654451
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
3107 Issued in NM
Legal business name
PEAK BEHAVIORAL HEALTH SERVICES LLC
Practice address
5065 McNutt Rd
Santa Teresa, NM 88008-9442
Phone
(505) 589-3000
Fax
(505) 589-2822
NPI assigned
Jan 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ruben Paredes
Title
Chief Financial Officer
Phone
(505) 589-6714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 3107 NM Primary

Addresses

Primary practice location

5065 McNutt Rd
Santa Teresa, NM 88008-9442

Mailing address

PO Box 14
5045 McNutt Rd
Santa Teresa, NM 88008-0014
Phone (505) 589-3000

Other identifiers 1

IdentifierTypeStateIssuer
32122705MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
SBH El Paso LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689654451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14",
            "address_2": "5045 MCNUTT RD",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880080014",
            "telephone_number": "505-589-3000",
            "fax_number": "505-589-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5065 MCNUTT RD",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089442",
            "telephone_number": "505-589-3000",
            "fax_number": "505-589-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAREDES",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "505-589-6714",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NM",
            "license": "3107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32122705",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Teresa, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.