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SHADOW MOUNTAIN HEALTH LLC.
NPI 1477208452
Clinic/Center - Health Service in Albuquerque, NM

Active since February 17, 2022
7005 PROSPECT PL NE, ALBUQUERQUE, NM 87110(925) 389-8591 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shadow Mountain Health Llc. NPPES

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

SHADOW MOUNTAIN HEALTH LLC. (NPI 1477208452) is a healthcare organization registered as a health service in Albuquerque, New Mexico and active in the NPI registry since February 2022. The organization lists Jackie Elliott, Vp Operations, as its authorized official.

NPPES Registry Identity

NPI1477208452
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameSHADOW MOUNTAIN HEALTH LLC.
Location Address7005 PROSPECT PL NEAlbuquerque, NM 87110-4311
Mailing Address104 S Wayne Ave Unit 371Wayne, PA 19087-6026
Phone(925) 389-8591
Organization SubpartYesParent: Shadow Mountain Recovery Llc.
Authorized OfficialJackie ElliottVp Operations · (925) 389-8591
Enumeration DateFebruary 17, 2022
NPPES CertifiedFebruary 17, 2022
✔ NPI 1477208452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
7005 PROSPECT PL NE, Albuquerque, NM 87110
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Other Providers at the Same Location NPPES 9

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

CHRISTOPHER CASTILLO
Peer Specialist
7005 PROSPECT PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 390-2080
BENJAMIN ANDREW LANDRUM CNP
Nurse Practitioner (Psychiatric/Mental Health)
7005 PROSPECT PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 361-2634
MR. WASAN CARTWRIGHT JR. FNP-BC
Nurse Practitioner (Family)
7005 PROSPECT PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 361-2634
ANNE NEWBURY LMSW
Social Worker
7005 PROSPECT PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 390-2080
SHADOW MOUNTAIN RECOVERY LLC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
7005 PROSPECT PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (800) 203-8249
DENISE BARNER LPCC
Counselor (Professional)
7005 PROSPECT PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 578-3095
ANCHOR BEHAVIORAL HEALTH LLC
Community/Behavioral Health
7005 PROSPECT PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (480) 493-9320
KASANDRA MICHELLE ALLEN CPSW
Community Health Worker
7005 PROSPECT PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 390-2080

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 Shadow Mountain Health LLC.'s NPI number?

The NPI number for Shadow Mountain Health LLC. is 1477208452. It was assigned to this organization in the NPPES registry on February 17, 2022.

Where is Shadow Mountain Health LLC. located?

Shadow Mountain Health LLC. is located at 7005 Prospect Pl NE, Albuquerque, NM 87110. The listed phone number is (925) 389-8591.

What is Shadow Mountain Health LLC.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Shadow Mountain Health LLC. was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.