Individual provider Active NPI

Mbe Sylvester Tayourh, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Rio Rancho, NM
National Provider Identifier
1801253083
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
75598 Issued in NM
Practice address
3112 Anderson Rd NE
Rio Rancho, NM 87144-1483
Phone
(202) 706-0905
Fax
(505) 581-8035
NPI assigned
Jan 19, 2016
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1114373 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0106502 CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 75598 NM Primary
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist 364SP0813X 1114373 TX
Registered Nurse 163W00000X 867533 TX

Addresses

Primary practice location

3112 Anderson Rd NE
Rio Rancho, NM 87144-1483

Mailing address

3112 Anderson Rd NE
Rio Rancho, NM 87144-1483
Phone (202) 706-0905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260310004370 TX Practitioner - Nurse Practitioner 4284117003 Reassigns benefits to 1 organization
I20260310004703 NM Practitioner - Nurse Practitioner 4284117003 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Krossroads Integrative Health and Recovery Solutions IncGroup PAC ID 6901276237, 12 clinicians

Practice addresses (Care Compare)

6 Calle Medico
Suite 1
Santa Fe, NM 87505-4761
Phone (505) 718-6776

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
867533TXMDRegistered Nurse
0106502COMDPsychiatric/Mental Health Nurse Practitioner
75598NMMDPsychiatric/Mental Health Nurse Practitioner
1114373TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aamjo Care Services LLC Psychiatric/Mental Health CurrentSince Jan 23, 2026 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1801253083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112 ANDERSON RD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871441483",
            "telephone_number": "202-706-0905",
            "fax_number": "505-581-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3112 ANDERSON RD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871441483",
            "telephone_number": "202-706-0905",
            "fax_number": "505-581-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYOURH",
        "first_name": "MBE",
        "middle_name": "SYLVESTER",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-19",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1114373",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0106502",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "75598",
            "primary": true
        },
        {
            "code": "364SP0813X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
            "state": "TX",
            "license": "1114373",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "867533",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.