Active NPI
Southwest Behavioral Services of El Paso PLLC
- Psychiatric/Mental Health Nurse Practitioner
- El Paso, TX
National Provider Identifier
1962245290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SOUTHWEST BEHAVIORAL SERVICES OF EL PASO PLLC
- Practice address
- 1900 Denver Ave
El Paso, TX 79902-3008 - Phone
- (915) 544-4000
- NPI assigned
- Jun 14, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Oscar Demetrio Villalobos, PMHNP BC LPC
- Title
- Owner
- Phone
- (915) 203-8186
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1900 Denver Ave
El Paso, TX 79902-3008
Mailing address
3800 N Mesa St Ste A2
El Paso, TX 79902-1512
Phone (915) 313-1976
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- El Paso, TX
- NPI 1528181492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718323200000",
"number": "1962245290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 N MESA ST STE A2",
"city": "EL PASO",
"state": "TX",
"postal_code": "799021512",
"telephone_number": "915-313-1976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 DENVER AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799023008",
"telephone_number": "915-544-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST BEHAVIORAL SERVICES OF EL PASO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-14",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A",
"authorized_official_last_name": "VILLALOBOS",
"authorized_official_first_name": "OSCAR",
"authorized_official_middle_name": "DEMETRIO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "915-203-8186",
"authorized_official_credential": "PMHNP BC LPC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
- Southfork Anesthesia PLLC
- Southwest #1, LLC
- Southwest Allergy and Asthma Associates
- Southwest Ambulatory Surgery Center, PLLC
- Southwest Anesthesia Group, P.a.
- Southwest Cancer Center PA
- Southwest Cardiovascular Intervention Clinic, PA
- Southwest Celebrity Smiles PLLC
- Southwest Center for Reproductive Health, P.a.
- Southwest Collaborative Healthcare Solutions PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.