Individual provider Active NPI

Yvonne D Hall, MD

  • Psychiatry Physician
  • Rio Rancho, NM
National Provider Identifier
1922029164
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2003-0591 Issued in NM
Practice address
1005 21St St SE
Ste 7
Rio Rancho, NM 87124-4030
Phone
(505) 515-3982
Fax
(505) 792-6060
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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 2003-0591 NM Primary

Addresses

Primary practice location

1005 21St St SE
Ste 7
Rio Rancho, NM 87124-4030

Mailing address

2003 Southern Blvd SE
Ste 102-214
Rio Rancho, NM 87124-3751
Phone (505) 515-3982

Other names 1

  • Yvonne D Hall-Gomez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040113000734 NM Practitioner - Geriatric PsychiatryPractitioner - Psychiatry 8527968502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric PsychiatryAlso: Psychiatry
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Guadalupe Psychiatric and Mental Health ServicesGroup PAC ID 5496934291, 2 clinicians

Practice addresses (Care Compare)

1350 Jackie Rd SE
Suite 104
Rio Rancho, NM 87124-1519
Phone (505) 515-3982

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003-0591NMMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guadalupe Psychiatric and Mental Health Services Psychiatry CurrentSince Aug 19, 2010 Accepting new patients

Locations

1005 21st St SE
Ste 7
Rio Rancho, NM 87124
Phone (505) 459-6101

2003 Southern Blvd SE
Ste 102214
Rio Rancho, NM 87124

1350 Jackie Rd SE
Ste 104
Rio Rancho, NM 87124
Phone (505) 238-2997

Interoperability endpoints

  • Direct secure messaging: yhall@guaddalupe.kareodirect.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1922029164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 SOUTHERN BLVD SE",
            "address_2": "STE 102-214",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871243751",
            "telephone_number": "505-515-3982",
            "fax_number": "505-792-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 21ST ST SE",
            "address_2": "STE 7",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871244030",
            "telephone_number": "505-515-3982",
            "fax_number": "505-792-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "YVONNE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "2003-0591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVONNE",
            "last_name": "HALL-GOMEZ",
            "middle_name": "D",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.