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DESERT BLOOM TELEPSYCH SERVICES LLC
NPI 1336503176
Nurse Practitioner - Psychiatric/Mental Health in Albuquerque, NM

Active since April 07, 2016
8605 VINEYARD RIDGE RD NE, ALBUQUERQUE, NM 87122(505) 620-6389 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Desert Bloom Telepsych Services Llc NPPES

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

DESERT BLOOM TELEPSYCH SERVICES LLC (NPI 1336503176) is a healthcare organization registered as a psychiatric/mental health in Albuquerque, New Mexico and active in the NPI registry since April 2016. The organization lists Debra Marie Stanger, Pmhnp-bc Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1336503176
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameDESERT BLOOM TELEPSYCH SERVICES LLC
Location Address8605 VINEYARD RIDGE RD NEAlbuquerque, NM 87122-2623
Mailing Address8605 Vineyard Ridge Rd NeAlbuquerque, NM 87122-2623 · (505) 620-6389
Phone(505) 620-6389
Organization SubpartNo
Authorized OfficialDebra Marie StangerPmhnp-bc Sole Owner · (505) 856-2262
Enumeration DateApril 7, 2016
✔ NPI 1336503176 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
License✔ Licensed in NM · CNP-01597
8605 VINEYARD RIDGE RD NE, Albuquerque, NM 87122
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Other Identifiers 1

Medicaid78935784NM

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

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

MRS. DEBRA STANGER R.N.
Registered Nurse (Psychiatric/Mental Health)
8605 VINEYARD RIDGE RD NE
ALBUQUERQUE, NM 87122
Bernalillo County (505) 620-6389

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 Desert Bloom Telepsych Services LLC's NPI number?

The NPI number for Desert Bloom Telepsych Services LLC is 1336503176. It was assigned to this organization in the NPPES registry on April 7, 2016.

Where is Desert Bloom Telepsych Services LLC located?

Desert Bloom Telepsych Services LLC is located at 8605 Vineyard Ridge Rd NE, Albuquerque, NM 87122. The listed phone number is (505) 620-6389.

What is Desert Bloom Telepsych Services 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 Desert Bloom Telepsych Services LLC was last updated on April 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.