Organization Active NPI

New Mexico Behavioral Health

  • Community/Behavioral Health Agency
  • Las Vegas, NM
National Provider Identifier
1720784697
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NEW MEXICO BEHAVIORAL HEALTH
Practice address
3695 Hot Springs Blvd
Las Vegas, NM 87701-9549
Phone
(281) 258-5344
NPI assigned
Feb 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Authorized official

Name
Mutiat Temitope Olawunmi, NP
Title
Pmhnp
Phone
(281) 258-5344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3695 Hot Springs Blvd
Las Vegas, NM 87701-9549

Mailing address

18403 Austin Oak LN
Richmond, TX 77407-2277
Phone (281) 258-5344

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1720784697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18403 AUSTIN OAK LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072277",
            "telephone_number": "281-258-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 HOT SPRINGS BLVD",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877019549",
            "telephone_number": "281-258-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "OLAWUNMI",
        "authorized_official_first_name": "MUTIAT",
        "authorized_official_middle_name": "TEMITOPE",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "281-258-5344",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.