ROXANNE MERCURIO
NPI 1720445679
Clinic/Center - Mental Health (Including Community Mental Health Center) in Santa Fe, NM

Q: What is Modern Mystic, LLC's NPI number?

The NPI number for Modern Mystic, LLC is 1720445679. It was assigned to this organization in the NPPES registry on January 23, 2016. The provider is also known as Roxanne Mercurio.

Q: What is Modern Mystic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since January 23, 2016

2213 BROTHERS RD, SANTA FE, NM 87505(505) 988-7616 Get Directions Write a Review

NPPES record last updated: January 23, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Roxanne Mercurio NPPES

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

ROXANNE MERCURIO (NPI 1720445679) is a healthcare organization registered as a mental health (including community mental health center) in Santa Fe, New Mexico and active in the NPI registry since January 2016. The organization lists Roxanne Mercurio, Licensed Mental Health Counselor, as its authorized official.

NPPES Registry Identity

NPI1720445679

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameMODERN MYSTIC, LLC

Location Address2213 BROTHERS RDSanta Fe, NM 87505-6993

Mailing Address9 Bonito RdSanta Fe, NM 87508-8793 · (505) 231-3786 · Fax (505) 988-5592

Phone(505) 988-7616

Organization SubpartNo

Authorized OfficialRoxanne MercurioLicensed Mental Health Counselor · (505) 231-3786

Enumeration DateJanuary 23, 2016

✔ NPI 1720445679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

License✔ Licensed in NM · T-0174411

2213 BROTHERS RD, Santa Fe, NM 87505

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Other Names 1

Other NameRoxanne Mercurio

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.

DR. MARTHA KAY DUMMER M.D.

Internal Medicine

2213 BROTHERS RD, SUITE 600
SANTA FE, NM 87505

Santa Fe County (505) 986-8645

MR. ARMANDO A. POLLACK M.S.W.

Social Worker (Clinical)

2213 BROTHERS RD
SANTA FE, NM 87505

Santa Fe County (505) 986-8659

KEYSTONE WOMENS CENTER LLC

Obstetrics & Gynecology (Gynecology)

2213 BROTHERS RD, SUITE 700
SANTA FE, NM 87505

Santa Fe County (505) 466-5433

DR. SUSAN B CAVE PHD

Psychologist (Clinical)

2213 BROTHERS RD, SUITE 300
SANTA FE, NM 87505

Santa Fe County (505) 988-7616

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 Modern Mystic, LLC's NPI number?

The NPI number for Modern Mystic, LLC is 1720445679. It was assigned to this organization in the NPPES registry on January 23, 2016. The provider is also known as Roxanne Mercurio.

Where is Modern Mystic, LLC located?

Modern Mystic, LLC is located at 2213 Brothers Rd, Santa Fe, NM 87505. The listed phone number is (505) 988-7616.

What is Modern Mystic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Modern Mystic, LLC was last updated on January 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.