CHRYSALIS HEALTHCARE LLC (NPI# 1982219499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982219499 |
| Entity Type | Organization |
| Organization Name | CHRYSALIS HEALTHCARE LLC |
| Practice Address |
2632 Mesilla St Ne Ste 6 Albuquerque NM 87110-3614 |
| Practice Telephone | 5052592431 |
| Mailing Telephone | 5052592431 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |
| Authorized Official Name | JUSTIN BEATTY (OWNER) |
| Authorized Official Telephone | 5052592431 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
2632 MESILLA ST NE STE 6 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-3614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922646595 | Psychogenesis LLC | Psychiatry & Neurology | 3900 Eubank Blvd Ne Ste 18, Albuquerque, NM 87111-3427 | 2019-12-14 |
| 1134515737 | Amanda S Valone | Psychiatry & Neurology | 1501 San Pedro Dr Se Rm 145, Albuquerque, NM 87108-5180 | 2015-04-09 |
| 1932514288 | Christine M Clark | Psychiatry & Neurology | 1 University of New Mexico # 95030, Albuquerque, NM 87131-0001 | 2014-06-25 |
| 1790105369 | Monique Elise Ethne Simpson | Psychiatry & Neurology | 320 Gold Ave Sw Ste 1001, Albuquerque, NM 87102-3228 | 2014-04-22 |
| 1386083368 | Jeannette Elizabeth Ferguson | Psychiatry & Neurology | Child Psychiatric Center 1001 Yale Blvd Ne, Albuquerque, NM 87131 | 2013-06-23 |
| 1245573476 | Dyani Loo | Psychiatry & Neurology | Msc 09 5030 University of New Mexico, Albuquerque, NM 87131 | 2013-04-06 |
| 1346528866 | Christie Anne Cline | Psychiatry & Neurology | 8905 Osuna Rd Ne, Albuquerque, NM 87111-2139 | 2011-08-01 |
| 1083904023 | Nina E Higgins | Psychiatry & Neurology | Msc 09 5030 1 University of New Mexico, Albuquerque, NM 87131 | 2011-04-11 |
| 1003111873 | Melissa A Merhege | Psychiatry & Neurology | 500 Walter St Ne Ste 213, Albuquerque, NM 87102 | 2011-01-25 |
| 1376869123 | Shanna Vaughan Diaz | Psychiatry & Neurology | 2600 Marble St, Albuquerque, NM 87131-0001 | 2010-04-19 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.