FCMBH-PC
NPI 1891056909
Psychiatry & Neurology - Psychiatry in Albuquerque, NM

Q: What is Four Corners Mental And Behavioral Health PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since June 05, 2012

1003 LUNA CIR NW, ALBUQUERQUE, NM 87102(505) 504-5505(505) 214-5614 Get Directions Write a Review

NPPES record last updated: August 29, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 29, 2023, Aug 15, 2023, Apr 16, 2021 and 1 more (4 updates tracked since 2015).

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About Fcmbh-pc NPPES

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

FCMBH-PC (NPI 1891056909) is a healthcare organization registered as a psychiatry in Albuquerque, New Mexico and active in the NPI registry since June 2012. The organization maintains a secondary practice location in Albuquerque and lists Shannon Solis Baca, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1891056909

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameFOUR CORNERS MENTAL AND BEHAVIORAL HEALTH PC

Location Address1003 LUNA CIR NWAlbuquerque, NM 87102-1973

Mailing AddressPo Box 95602Albuquerque, NM 87199 · (505) 504-5505 · Fax (505) 214-5614

Phone(505) 504-5505

Fax(505) 214-5614

Organization SubpartNo

Authorized OfficialShannon Solis BacaOffice Manager · (505) 200-9855

Enumeration DateJune 5, 2012

Last NPPES UpdateAugust 29, 20234 updates tracked since enumeration

NPPES CertifiedAugust 29, 2023

✔ NPI 1891056909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryTaxonomy 2084B0040X

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X

1003 LUNA CIR NW, Albuquerque, NM 87102

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Other Names 1

Other NameFcmbh-pc

Secondary Practice Location 1

Location 15801 Osuna Rd NE, Suite A106Albuquerque, NM 87109 · Phone (505) 504-5505 · Fax (505) 214-5614

Other Identifiers 1

Medicaid37776825NM

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fcmbh-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fcmbh-PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Randolph Baca, MD

Psychiatry

NPI 1790982643

1003 LUNA CIR NW
Albuquerque, NM 87102

(505) 504-5505

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Four Corners Mental And Behavioral Health PC's NPI number?

The NPI number for Four Corners Mental And Behavioral Health PC is 1891056909. It was assigned to this organization in the NPPES registry on June 5, 2012. The provider is also known as Fcmbh-Pc.

Where is Four Corners Mental And Behavioral Health PC located?

Four Corners Mental And Behavioral Health PC is located at 1003 Luna Cir NW, Albuquerque, NM 87102. The listed phone number is (505) 504-5505.

What is Four Corners Mental And Behavioral Health PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Four Corners Mental And Behavioral Health PC enrolled in Medicare?

Yes. Four Corners Mental And Behavioral Health PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Four Corners Mental And Behavioral Health PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Four Corners Mental And Behavioral Health PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Four Corners Mental And Behavioral Health PC was last updated on August 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.