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SOUTHWEST PSYCHIATRY PLLC
NPI 1427616259
Nurse Practitioner - Psychiatric/Mental Health in Santa Teresa, NM

Active since June 05, 2019CLIA 32D2252430 · Waiver
5805 MCNUTT RD, SANTA TERESA, NM 88008(915) 244-4966 Get Directions Write a Review

NPPES record last updated: June 5, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Southwest Psychiatry Pllc NPPES

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

SOUTHWEST PSYCHIATRY PLLC (NPI 1427616259) is a healthcare organization registered as a psychiatric/mental health in Santa Teresa, New Mexico and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through January 27, 2027 and lists Daniel Bustillos, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1427616259
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSOUTHWEST PSYCHIATRY PLLC
Location Address5805 MCNUTT RDSanta Teresa, NM 88008-8001
Mailing Address1209 Whirl Away DrEl Paso, TX 79936-7836 · (915) 244-4966
Phone(915) 244-4966
Organization SubpartNo
Authorized OfficialDaniel BustillosPmhnp · (915) 244-4966
Enumeration DateJune 5, 2019
✔ NPI 1427616259 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
5805 MCNUTT RD, Santa Teresa, NM 88008
Open in Google Maps ↗

Other Identifiers 2

OtherAP55389NM · License Number
OtherAP140763TX · Texas License

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 Blue Cross and Blue Shield of Texas.Insurance ›

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 32D2252430

Southwest Psychiatry · Santa Teresa, NM
Active · expires Jan 27, 2027
CLIA Number32D2252430
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 28, 2025
Certificate Expiration DateJanuary 27, 2027
Laboratory DirectorDaniel Bustillos
Laboratory Phone(575) 332-4007
Laboratory LocationSouthwest Psychiatry5805 Mcnutt Rd Suite D, Santa Teresa, NM 88008
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

PRIMARY WELLNESS TEAM CORPORATION
Psychologist (Prescribing (Medical))
5805 MCNUTT RD, STE D
SANTA TERESA, NM 88008
Doña Ana County (575) 265-1717
GREEN MINDS MATTER LLC
Nurse Practitioner (Psychiatric/Mental Health)
5805 MCNUTT RD
SANTA TERESA, NM 88008
Doña Ana County (469) 569-8665
STF DENTAL
Clinic/Center (Dental)
5805 MCNUTT RD
SANTA TERESA, NM 88008
Doña Ana County (213) 200-5023
DIANA PAOLA LICON
Community Health Worker
5805 MCNUTT RD
SANTA TERESA, NM 88008
Doña Ana County (575) 332-4007

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 Southwest Psychiatry PLLC's NPI number?

The NPI number for Southwest Psychiatry PLLC is 1427616259. It was assigned to this organization in the NPPES registry on June 5, 2019.

Where is Southwest Psychiatry PLLC located?

Southwest Psychiatry PLLC is located at 5805 Mcnutt Rd, Santa Teresa, NM 88008. The listed phone number is (915) 244-4966.

What is Southwest Psychiatry PLLC's specialty?

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

Does Southwest Psychiatry PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 32D2252430) is associated with this NPI, valid through January 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southwest Psychiatry PLLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Southwest Psychiatry PLLC 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 Southwest Psychiatry PLLC was last updated on June 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.