Organization Active NPI

Mindcalm Psychiatric & Behavioral Health Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Fe, NM
National Provider Identifier
1801484712
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MINDCALM PSYCHIATRIC & BEHAVIORAL HEALTH SERVICES LLC
Practice address
150 Washington Ave Ste 201
Santa Fe, NM 87501-2038
Phone
(505) 395-4690
Fax
(978) 378-2056
NPI assigned
Jan 6, 2021
Last updated
Jan 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Authorized official

Name
Tracie L Thomas, NPNPI 1669938171
Title
Owner
Phone
(505) 395-4690

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: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

150 Washington Ave Ste 201
Santa Fe, NM 87501-2038

Mailing address

PO Box 271322
Flower Mound, TX 75027-1322
Phone (505) 395-4690

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260303001513 NM Part B Supplier - Clinic/Group Practice 8729560495 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Fe, NM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1801484712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271322",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750271322",
            "telephone_number": "505-395-4690",
            "fax_number": "978-378-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WASHINGTON AVE STE 201",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012038",
            "telephone_number": "505-395-4690",
            "fax_number": "978-378-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDCALM PSYCHIATRIC & BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-395-4690",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.