| New Mexico United Psych LLC | |
|
9310 Coors Blvd Nw Albuquerque NM 87114-4006 | |
| (832) 869-4818 | |
| (832) 241-2902 |
| Full Name | New Mexico United Psych LLC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9310 Coors Blvd Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Faisal Tai (CEO) |
| Authorized Official Contact | 2017061143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Mexico United Psych LLC 9310 Coors Blvd Nw Albuquerque NM 87114-4006 Ph: (832) 869-4818 | New Mexico United Psych LLC 9310 Coors Blvd Nw Albuquerque NM 87114-4006 Ph: (832) 869-4818 |
| NPI Number | 1003783812 |
|---|---|
| Provider Enumeration Date | 10/17/2025 |
| Last Update Date | 10/17/2025 |
| Certification Date | 10/17/2025 |
| Medicare PECOS PAC ID | 2365929650 |
|---|---|
| Medicare Enrollment ID | O20260116001474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003783812 | NPI | - | NPPES |
| Provider Name | Randolph Phillip Baca |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790982643 PECOS PAC ID: 9931335320 Enrollment ID: I20131114000150 |
| Provider Name | Milagros Mirdo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336646975 PECOS PAC ID: 7618220138 Enrollment ID: I20181031001475 |
| Provider Name | Gurkiran Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194967216 PECOS PAC ID: 9931425915 Enrollment ID: I20230103001314 |
| Provider Name | Kenyua N Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669815478 PECOS PAC ID: 0941438998 Enrollment ID: I20230908002906 |
| Provider Name | Dina Rico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912731373 PECOS PAC ID: 8527592914 Enrollment ID: I20241107001638 |
| Provider Name | Faisal Tai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619381316 PECOS PAC ID: 7911125265 Enrollment ID: I20241108002570 |
| Provider Name | Ernest Kendrick |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124012067 PECOS PAC ID: 5799828976 Enrollment ID: I20250108002161 |
| Provider Name | Martins Adeoye |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962431726 PECOS PAC ID: 0143204206 Enrollment ID: I20250618003975 |
| Provider Name | Modupeola Christianah Akinjolire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609660364 PECOS PAC ID: 3476056458 Enrollment ID: I20250918004368 |
| Provider Name | Inna Lopatyuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346138385 PECOS PAC ID: 5395242705 Enrollment ID: I20251009003945 |
Integrated Healthcare of New Mexico Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7632 William Moyers Ave Ne, Albuquerque, NM 87122 Phone: 505-554-1716 Fax: 505-792-5222 |
Lotus Behavioral Health LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4010 Carlisle Blvd Ne, Albuquerque, NM 87107 Phone: 401-954-1397 |
Choices Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3620 Wyoming Blvd Ne, Suite L3, Albuquerque, NM 87111 Phone: 505-730-6791 Fax: 505-814-5740 |
Broken Arrow Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 840 Simon Ln Sw, Albuquerque, NM 87105 Phone: 505-818-7934 |
Mind Over Matters Holistic Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2424 Palomas Dr Ne, Albuquerque, NM 87110 Phone: 505-459-6980 |
Solamente Holistic Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 833 Lomas Blvd Nw, Albuquerque, NM 87102 Phone: 505-243-6353 |