Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BANYAN TREE MIND & WELLNESS LLC
NPI 1215873690
Nurse Practitioner - Psychiatric/Mental Health in Rio Rancho, NM

Active since April 27, 2026
1740 GRANDE BLVD SE STE B2, RIO RANCHO, NM 87124(505) 551-5553(949) 864-1692 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Banyan Tree Mind & Wellness Llc NPPES

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

BANYAN TREE MIND & WELLNESS LLC (NPI 1215873690) is a healthcare organization registered as a psychiatric/mental health in Rio Rancho, New Mexico and active in the NPI registry since April 2026. The organization lists Mary Ruffaner Hanson, Pmhnp-bc, as its authorized official.

NPPES Registry Identity

NPI1215873690
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBANYAN TREE MIND & WELLNESS LLC
Location Address1740 GRANDE BLVD SE STE B2Rio Rancho, NM 87124-1799
Mailing Address1740 Grande Blvd Se Ste B2Rio Rancho, NM 87124-1799 · (505) 551-5553 · Fax (949) 864-1692
Fax(949) 864-1692
Organization SubpartNo
Authorized OfficialMary Ruffaner HansonPmhnp-bc · (505) 551-5553
Enumeration DateApril 27, 2026
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
NPI 1215873690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1740 GRANDE BLVD SE STE B2, Rio Rancho, NM 87124

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Adult Mental Health)
1740 GRANDE BLVD SE STE B2
RIO RANCHO, NM 87124
Clinic/Center (Mental Health (Including Community Mental Health Center))
1740 GRANDE BLVD SE STE B2
RIO RANCHO, NM 87124
Nurse Practitioner (Psychiatric/Mental Health)
1740 GRANDE BLVD SE STE B2
RIO RANCHO, NM 87124

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 Banyan Tree Mind & Wellness LLC's NPI number?

The NPI number for Banyan Tree Mind & Wellness LLC is 1215873690. It was assigned to this organization in the NPPES registry on April 27, 2026.

Where is Banyan Tree Mind & Wellness LLC located?

Banyan Tree Mind & Wellness LLC is located at 1740 Grande Blvd SE Ste B2, Rio Rancho, NM 87124. The listed phone number is (505) 551-5553.

What is Banyan Tree Mind & Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Banyan Tree Mind & Wellness LLC was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.