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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PINE PSYCHIATRIC CARE SERVICES LLC
NPI 1619647484
Nurse Practitioner - Psychiatric/Mental Health in Albuquerque, NM

Active since September 14, 2021
2727 SAN PEDRO DR NE STE 118, ALBUQUERQUE, NM 87110(505) 361-6580(505) 717-4007 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 5, 2026, Feb 14, 2023, Sep 15, 2021 (3 updates tracked since 2021).

About Pine Psychiatric Care Services Llc NPPES

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

PINE PSYCHIATRIC CARE SERVICES LLC (NPI 1619647484) is a healthcare organization registered as a psychiatric/mental health in Albuquerque, New Mexico and active in the NPI registry since September 2021. The organization lists Mercy Itesa, Owner, as its authorized official.

NPPES Registry Identity

NPI1619647484
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePINE PSYCHIATRIC CARE SERVICES LLC
Location Address2727 SAN PEDRO DR NE STE 118Albuquerque, NM 87110-3364
Mailing Address2727 San Pedro Dr Ne Ste 118Albuquerque, NM 87110-3364 · (505) 361-6580 · Fax (505) 717-4007
Phone(505) 361-6580
Fax(505) 717-4007
Organization SubpartNo
Authorized OfficialMercy ItesaOwner · (505) 361-6580
Enumeration DateSeptember 14, 2021
Last NPPES UpdateAugust 5, 20263 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1619647484 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
2727 SAN PEDRO DR NE STE 118, Albuquerque, NM 87110
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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 Blue Cross and Blue Shield of Texas.Insurance ›

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 Pine Psychiatric Care Services LLC's NPI number?

The NPI number for Pine Psychiatric Care Services LLC is 1619647484. It was assigned to this organization in the NPPES registry on September 14, 2021.

Where is Pine Psychiatric Care Services LLC located?

Pine Psychiatric Care Services LLC is located at 2727 San Pedro Dr NE Ste 118, Albuquerque, NM 87110. The listed phone number is (505) 361-6580.

What is Pine Psychiatric Care Services LLC's specialty?

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

What insurance does Pine Psychiatric Care Services LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Pine Psychiatric Care Services LLC 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 Pine Psychiatric Care Services LLC was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.