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

Q: 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.

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: October 04, 2026.

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

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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

Phone(505) 225-3110

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.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.

ELENA CRESPIN DNP CNP PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

9384 VALLEY VIEW DR NW STE 400
ALBUQUERQUE, NM 87114

Bernalillo County (505) 595-7092

HIGH DESERT PSYCHIATRY LLC

Nurse Practitioner (Psychiatric/Mental Health)

9384 VALLEY VIEW DR NW STE 400
ALBUQUERQUE, NM 87114

Bernalillo County (505) 595-7092

DR. DESIREE RENEE PROVENCIO DNP, CNP, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

9384 VALLEY VIEW DR NW STE 400
ALBUQUERQUE, NM 87114

Bernalillo County (505) 225-3110

SPINAL MECHANIC INC.

Chiropractor (Rehabilitation)

9384 VALLEY VIEW DR NW STE 400
ALBUQUERQUE, NM 87114

Bernalillo County (505) 205-1011

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 10 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.