Individual provider Active NPI

Douglas Hinten Emch, M.D.

  • Psychiatry Physician
  • Santa Fe, NM
National Provider Identifier
1891861597
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD2006-0643 Issued in NM
Practice address
2504 Camino Entrada
Santa Fe, NM 87507-4851
Phone
(505) 216-2727
NPI assigned
Nov 27, 2006
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD2006-0643 NM Primary

Addresses

Primary practice location

2504 Camino Entrada
Santa Fe, NM 87507-4851

Mailing address

5312 Jaguar Dr
Santa Fe, NM 87507-1827
Phone (505) 820-0262

Other practice location 1

5312 Jaguar Dr
Santa Fe, NM 87507-1827
Phone (505) 820-0262

Other practice location 2

920 Salazar Rd
Taos, NM 87571-8224
Phone (505) 216-2727

Other identifiers 1

IdentifierTypeStateIssuer
18677037MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040210000229 TN Practitioner - Psychiatry 7315831526
I20130321000619 NM Practitioner - Psychiatry 7315831526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Vanderbilt University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2504 Camino Entrada
Santa Fe, NM 87507-4851
Phone (505) 216-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2006-0643NMMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teambuilders Behavioral Health, LLC CurrentSince Sep 5, 2024 Accepting new patients
Three Rivers Behavioral Health LLC CurrentSince Aug 30, 2024 Accepting new patients
Teambuilders Behavioral Health, LLC CurrentSince Sep 5, 2024 Accepting new patients
Teambuilders Behavioral Health, LLC Current Accepting new patients
Centerstone of Tennessee, Inc. Past Accepting new patients
Meharry Medical College Past Accepting new patients
Zia Behavioral Health, LLP Past Accepting new patients
Centerstone of Tennessee, Inc. PastSince Jul 3, 2010 Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

301 S Camino del Pueblo
Bernalillo, NM 87004
Phone (505) 216-2727

2504 Camino Entrada
Santa Fe, NM 87507
Phone (505) 216-2727

105 Paseo del Canon W
Taos, NM 87571
Phone (575) 751-7037

1531 Hunt Club Blvd
Ste 106
Gallatin, TN 37066
Phone (615) 339-4249

Interoperability endpoints

  • Direct secure messaging: doug.emch.1@33079.direct.athenahealth.com
  • Direct secure messaging: dremch@taospeds.opdirect.net

Organizations & group practices 9

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1891861597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 JAGUAR DR",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875071827",
            "telephone_number": "505-820-0262",
            "fax_number": "505-820-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 CAMINO ENTRADA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074851",
            "telephone_number": "505-216-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5312 Jaguar Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875071827",
            "country_code": "US",
            "telephone_number": "505-820-0262",
            "fax_number": "505-820-9220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 Salazar Rd",
            "address_purpose": "LOCATION",
            "city": "Taos",
            "state": "NM",
            "postal_code": "875718224",
            "country_code": "US",
            "telephone_number": "505-216-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMCH",
        "first_name": "DOUGLAS",
        "middle_name": "HINTEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "MD2006-0643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18677037",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.