Organization Active NPI

Bairns Psychiatric Group LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Alamogordo, NM
National Provider Identifier
1801464243
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
BAIRNS PSYCHIATRIC GROUP LLC
Practice address
718 10TH St Ste W
Alamogordo, NM 88310-6777
Phone
(575) 489-6171
Fax
(877) 838-0737
NPI assigned
Jun 13, 2021
Reactivated
Oct 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Cecilia Isolina Kasbohm, CNPNPI 1588172290
Title
Provider
Phone
(575) 489-6171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

718 10TH St Ste W
Alamogordo, NM 88310-6777

Mailing address

718 10TH St Ste W
Alamogordo, NM 88310-6777
Phone (575) 489-6171

Other identifiers 1

IdentifierTypeStateIssuer
61580538MedicaidNM

Other names 1

  • Brighter Days Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211105000293 NM Part B Supplier - Clinic/Group Practice 0042609463 Receives reassigned benefits from 3 practitioners
Practice locations: Alamogordo, NM

National Provider Directory

National Provider Directory

Locations

718 10th St
Alamogordo, NM 88310
Phone (575) 415-3775

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1623542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1801464243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 10TH ST STE W",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106777",
            "telephone_number": "575-489-6171",
            "fax_number": "877-838-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 10TH ST STE W",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883106777",
            "telephone_number": "575-489-6171",
            "fax_number": "877-838-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAIRNS PSYCHIATRIC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-13",
        "last_updated": "2024-10-08",
        "certification_date": "2023-05-04",
        "deactivation_date": "2024-10-01",
        "reactivation_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "KASBOHM",
        "authorized_official_first_name": "CECILIA",
        "authorized_official_middle_name": "ISOLINA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "575-489-6171",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61580538",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighter Days",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brighter Days",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.