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SANDIA CREST MENTAL HEALTH LLC
NPI 1932373743
Nurse Practitioner - Psychiatric/Mental Health in Moriarty, NM

Active since April 14, 2008
1701 US ROUTE 66, SUITE D, MORIARTY, NM 87035(505) 384-1034 Get Directions Write a Review

NPPES record last updated: September 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandia Crest Mental Health Llc NPPES

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

SANDIA CREST MENTAL HEALTH LLC (NPI 1932373743) is a healthcare organization registered as a psychiatric/mental health in Moriarty, New Mexico and active in the NPI registry since April 2008. The organization lists Edward Ray Lobaugh, Ownder, as its authorized official.

NPPES Registry Identity

NPI1932373743
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSANDIA CREST MENTAL HEALTH LLC
Location Address1701 US ROUTE 66, SUITE DMoriarty, NM 87035
Mailing AddressPo Box 3823Moriarty, NM 87035-3823 · (505) 463-2072
Phone(505) 384-1034
Organization SubpartNo
Authorized OfficialEdward Ray LobaughOwnder · (505) 463-2072
Enumeration DateApril 14, 2008
Last NPPES UpdateSeptember 19, 2012
✔ NPI 1932373743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NM · R45675
Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, Child & AdolescentTaxonomy 364SP0807X · License R45675 (NM)
1701 US ROUTE 66, Moriarty, NM 87035
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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

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 Sandia Crest Mental Health LLC's NPI number?

The NPI number for Sandia Crest Mental Health LLC is 1932373743. It was assigned to this organization in the NPPES registry on April 14, 2008.

Where is Sandia Crest Mental Health LLC located?

Sandia Crest Mental Health LLC is located at 1701 Us Route 66 Suite D, Moriarty, NM 87035. The listed phone number is (505) 384-1034.

What is Sandia Crest Mental Health LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Sandia Crest Mental Health LLC was last updated on September 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.