HAVEN BEHAVIORAL SERVICES OF ALBUQUERQUE, LLC
NPI 1093079303
Psychiatric Hospital in Albuquerque, NM

Active since July 02, 2012CLIA 32D2049547 · Waiver
5400 GIBSON BLVD SE, 4TH FLOOR, ALBUQUERQUE, NM 87108(615) 393-8826 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 24, 2025, Jun 9, 2020, Jun 2, 2020 (3 updates tracked since 2020).

About Haven Behavioral Services Of Albuquerque, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAVEN BEHAVIORAL SERVICES OF ALBUQUERQUE, LLC (NPI 1093079303), doing business as Haven Behavioral Hospital Of Albuquerque, is a healthcare organization registered as a psychiatric hospital in Albuquerque, New Mexico and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through November 7, 2028 and lists Laura Tarantino, Evp, as its authorized official.

NPPES Registry Identity

NPI1093079303
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameHAVEN BEHAVIORAL SERVICES OF ALBUQUERQUE, LLC
Location Address5400 GIBSON BLVD SE, 4TH FLOORAlbuquerque, NM 87108-4729
Mailing Address3102 W End Ave, Suite 1000Nashville, TN 37203-1301 · (615) 393-8826
Organization SubpartNo
Authorized OfficialLaura TarantinoEvp · (972) 464-0022
Enumeration DateJuly 2, 2012
Last NPPES UpdateMarch 24, 20253 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1093079303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in NM · 2T3426
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
5400 GIBSON BLVD SE, Albuquerque, NM 87108

Other Names 1

Doing Business AsHaven Behavioral Hospital Of Albuquerque

Other Identifiers 1

Medicaid08652856NM

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haven Behavioral Services Of Albuquerque, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Haven Behavioral Services Of Albuquerque, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Clinical Social Worker7
Mental Health Counselor2
Nurse Practitioner2
Psychiatry1

Clinicians, nearest first (12)

Clinical Social Worker
NPI 1194487884
5400 GIBSON BLVD SE STE 4
Albuquerque, NM 87108
(505) 254-4500
✔ PECOSSame address
Nurse Practitioner
NPI 1013723923
5400 GIBSON BLVD SE STE 4
Albuquerque, NM 87108
(703) 254-4500
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1063285781
2504 GARFIELD AVE SE STE 1
Albuquerque, NM 87106
(717) 606-9651
✔ PECOS2.3 mi
Nurse Practitioner
NPI 1396477311
1100 CENTRAL AVE SE
Albuquerque, NM 87106
(505) 841-1234
✔ PECOS✔ Accepts Medicare3.5 mi
Mental Health Counselor
NPI 1003946526
707 BROADWAY BLVD NE
Albuquerque, NM 87102
(505) 382-9169
✔ PECOS4.1 mi
Clinical Social Worker
NPI 1588077416
1201 3RD ST NW
Albuquerque, NM 87102
(505) 338-3320
✔ PECOS4.6 mi
Clinical Social Worker
NPI 1821581125
1314 CLAIRE CT NW
Albuquerque, NM 87104
(609) 760-0743
✔ PECOS5.2 mi
Clinical Social Worker
NPI 1073088142
6612 GULTON CT NE STE A
Albuquerque, NM 87109
(505) 888-1686
✔ PECOS6.7 mi
Psychiatry
NPI 1679969497
8204 LOUISIANA BLVD NE STE A
Albuquerque, NM 87113
(505) 582-2180
✔ PECOS8.2 mi
Clinical Social Worker
NPI 1679891600
11 VALLE ESCONDIDO
Placitas, NM 87043
(505) 554-6888
✔ PECOS19 mi
Clinical Social Worker
NPI 1427653625
1601 N TURNER ST STE 420
Hobbs, NM 88240
(575) 391-0354
✔ PECOS255 mi
Mental Health Counselor
NPI 1447872726
3091 SIR HAMILTON CIR
Titusville, FL 32780
(321) 593-0926
✔ PECOS1,576 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 32D2049547

Haven Behavioral Services Of Albuquerque LLC Haven Behavioral Senior Care Of Albuquerque · Albuquerque, NM
Active · expires Nov 7, 2028
CLIA Number32D2049547
Laboratory TypeHospital
Certificate Effective DateNovember 8, 2026
Certificate Expiration DateNovember 7, 2028
Laboratory DirectorKathleen Dostalik
Laboratory Phone(505) 254-4508
Laboratory LocationHaven Behavioral Services Of Albuquerque LLC Haven Behavioral Senior Care Of Albuquerque5400 Gibson Blvd SE 4th Floor, Box # 8, Albuquerque, NM 87108
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Haven Behavioral Hospital Of Albuquerque (CMS certification number 324013), from CMS Care Compare.

Haven Behavioral Hospital Of Albuquerque

Psychiatric · Albuquerque, NM
OwnershipProprietary
CMS Certification Number324013
Location5400 Gibson Boulevard SE, 4th Floor Box# 8Albuquerque, NM 87108 · Bernalillo County · (505) 254-4500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Haven Behavioral Services Of Albuquerque, LLC's NPI number?

The NPI number for Haven Behavioral Services Of Albuquerque, LLC is 1093079303. It was assigned to this organization in the NPPES registry on July 2, 2012. The provider is doing business as Haven Behavioral Hospital of Albuquerque.

Where is Haven Behavioral Services Of Albuquerque, LLC located?

Haven Behavioral Services Of Albuquerque, LLC is located at 5400 Gibson Blvd SE 4th Floor, Albuquerque, NM 87108. The listed phone number is (615) 393-8826.

What is Haven Behavioral Services Of Albuquerque, LLC's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Is Haven Behavioral Services Of Albuquerque, LLC enrolled in Medicare?

Yes. Haven Behavioral Services Of Albuquerque, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Haven Behavioral Services Of Albuquerque, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Haven Behavioral Services Of Albuquerque, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (7), Mental Health Counselor (2) and Nurse Practitioner (2). Of these, 2 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Haven Behavioral Services Of Albuquerque, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2049547) is associated with this NPI, valid through November 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Haven Behavioral Services Of Albuquerque, LLC a Medicare-certified hospital?

Yes. Haven Behavioral Hospital Of Albuquerque is a Medicare-certified hospital (Psychiatric).

When was this NPI record last updated?

The NPPES record for Haven Behavioral Services Of Albuquerque, LLC was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.