Healthcare Provider Details

I. General information

NPI: 1831042670
Provider Name (Legal Business Name): OPEN MIND PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2026
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1204 GALISTEO ST
SANTA FE NM
87505-0630
US

IV. Provider business mailing address

1209 MOUNTAIN ROAD PL NE STE R
ALBUQUERQUE NM
87110-7845
US

V. Phone/Fax

Practice location:
  • Phone: 928-224-8015
  • Fax: 928-223-7617
Mailing address:
  • Phone: 928-224-8015
  • 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: MR. CHRISTOPHER ALFRED WILL
Title or Position: NURSE PRACTITIONER/CO-OWNER
Credential: APRN, PMHNP
Phone: 928-224-8015