SANDIA VISTA PSYCHIATRIC-MENTAL HEALTH
NPI 1396464723
Nurse Practitioner - Psychiatric/Mental Health in Albuquerque, NM

Active since August 29, 2022
9384 VALLEY VIEW DR NW STE 400, ALBUQUERQUE, NM 87114(505) 225-3110(505) 207-7988 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2025, Nov 9, 2023, Oct 31, 2023 and 2 more (5 updates tracked since 2022).

About Sandia Vista Psychiatric-mental Health NPPES

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

SANDIA VISTA PSYCHIATRIC-MENTAL HEALTH (NPI 1396464723) is a healthcare organization registered as a psychiatric/mental health in Albuquerque, New Mexico and active in the NPI registry since August 2022. The organization lists Desiree R Provencio, Member/manager, as its authorized official.

NPPES Registry Identity

NPI1396464723
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSANDIA VISTA PSYCHIATRIC-MENTAL HEALTH
Location Address9384 VALLEY VIEW DR NW STE 400Albuquerque, NM 87114-4403
Mailing AddressPo Box 45450Rio Rancho, NM 87174-5450 · (505) 225-3110 · Fax (505) 207-7988
Fax(505) 207-7988
Organization SubpartNo
Authorized OfficialDesiree R ProvencioMember/manager · (505) 225-3110
Enumeration DateAugust 29, 2022
Last NPPES UpdateNovember 18, 20255 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
NPI 1396464723 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
9384 VALLEY VIEW DR NW STE 400, Albuquerque, NM 87114

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

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Psychiatric/Mental Health)
9384 VALLEY VIEW DR NW STE 400
ALBUQUERQUE, NM 87114
Nurse Practitioner (Psychiatric/Mental Health)
9384 VALLEY VIEW DR NW STE 400
ALBUQUERQUE, NM 87114
Nurse Practitioner (Psychiatric/Mental Health)
9384 VALLEY VIEW DR NW STE 400
ALBUQUERQUE, NM 87114
Chiropractor (Rehabilitation)
9384 VALLEY VIEW DR NW STE 400
ALBUQUERQUE, NM 87114

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 Sandia Vista Psychiatric-Mental Health's NPI number?

The NPI number for Sandia Vista Psychiatric-Mental Health is 1396464723. It was assigned to this organization in the NPPES registry on August 29, 2022.

Where is Sandia Vista Psychiatric-Mental Health located?

Sandia Vista Psychiatric-Mental Health is located at 9384 Valley View Dr NW Ste 400, Albuquerque, NM 87114. The listed phone number is (505) 225-3110.

What is Sandia Vista Psychiatric-Mental Health's specialty?

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

What insurance does Sandia Vista Psychiatric-Mental Health accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Sandia Vista Psychiatric-Mental Health as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sandia Vista Psychiatric-Mental Health was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.