Healthcare Provider Details

I. General information

NPI: 1194445528
Provider Name (Legal Business Name): HIGH DESERT PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2022
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9384 VALLEY VIEW DR NW STE 400
ALBUQUERQUE NM
87114-4403
US

IV. Provider business mailing address

900 PINETREE RD SE # 15197
RIO RANCHO NM
87124-7615
US

V. Phone/Fax

Practice location:
  • Phone: 505-595-7092
  • Fax:
Mailing address:
  • Phone: 505-917-6932
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. ELENA M CRESPIN
Title or Position: PMHNP
Credential: DNP, CNP, PMHNP-BC
Phone: 505-917-6932