- Medicare Mental Health Clinic in Rio Rancho, NM

is a medicare enrolled mental health clinic (Psychologist) in Rio Rancho, New Mexico. The current practice location for is 2200 Grande Blvd Se Ste B, Rio Rancho, New Mexico. For appointments, you can reach them via phone at (505) 218-6383. The mailing address for is 2200 Grande Blvd Se Ste B, Rio Rancho, New Mexico and phone number is (505) 218-6383.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1801379433. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (505) 218-6383.

Contact Information

2200 Grande Blvd Se Ste B
Rio Rancho
NM 87124-1695
(505) 218-6383
(774) 221-9193

Map and Direction


Mental Health Clinic Profile

Full Name
SpecialityPsychologist
Location2200 Grande Blvd Se Ste B, Rio Rancho, New Mexico
Authorized Official Name and PositionStacey L Goldstein-dwyer (OWNER)
Authorized Official Contact5052186383
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

2200 Grande Blvd Se Ste B
Rio Rancho
NM 87124-1695

Ph: (505) 218-6383

2200 Grande Blvd Se Ste B
Rio Rancho
NM 87124-1695

Ph: (505) 218-6383

NPI Details:

NPI Number1801379433
Provider Enumeration Date09/10/2018
Last Update Date06/25/2021
Certification Date06/25/2021

Medicare PECOS Information:

Medicare PECOS PAC ID6204260474
Medicare Enrollment IDO20191220001167

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801379433NPI-NPPES
98336843MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
103T00000XPsychologist (* (Not Available))Primary
103TA0700XPsychologist - Adult Development & Aging (* (Not Available))Secondary
103TB0200XPsychologist - Cognitive & Behavioral (* (Not Available))Secondary
103TC1900XPsychologist - Counseling (* (Not Available))Secondary
103TF0000XPsychologist - Family (* (Not Available))Secondary
103TF0200XPsychologist - Forensic (* (Not Available))Secondary
103TP2701XPsychologist - Group Psychotherapy (* (Not Available))Secondary
174H00000XHealth Educator (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameSusanne S Drury
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1346363207
PECOS PAC ID: 0042567182
Enrollment ID: I20180720001840
Provider NameConnie C Cox
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1831231885
PECOS PAC ID: 0941530224
Enrollment ID: I20190930002012
Provider NamePhillip Plemons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871840199
PECOS PAC ID: 8921321043
Enrollment ID: I20200219000297
Provider NameChristopher R O'donnell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659902138
PECOS PAC ID: 6305267188
Enrollment ID: I20200603001033
Provider NameJessica Marie Sanchez
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1093839375
PECOS PAC ID: 4284030834
Enrollment ID: I20210907001268
Provider NameCatherine V Hyde
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1558905117
PECOS PAC ID: 9234518549
Enrollment ID: I20220616001572
Provider NameJacqueline Michelle Clifford
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1487125761
PECOS PAC ID: 3274983457
Enrollment ID: I20231229002714
Provider NameJenna Lcsw Brimmer
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1477098838
PECOS PAC ID: 7214388230
Enrollment ID: I20240103004622
Provider NameMelissa J Harris
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1598332223
PECOS PAC ID: 5890134142
Enrollment ID: I20240418003385
Provider NameJonathan C Reade
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1669834396
PECOS PAC ID: 8921539883
Enrollment ID: I20241002001958
Provider NameStacy R Bond
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1780124321
PECOS PAC ID: 5395788723
Enrollment ID: I20241031004450
Provider NameKristin R Tubb
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1881193050
PECOS PAC ID: 6507391273
Enrollment ID: I20241119002007
Provider NameAlma R Babbitt
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1023368065
PECOS PAC ID: 6901331677
Enrollment ID: I20241119002244
Provider NameBrenda S Burgard
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1710519731
PECOS PAC ID: 6406381086
Enrollment ID: I20241119002839
Provider NameAlyssa B Butler
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1972032563
PECOS PAC ID: 6103351002
Enrollment ID: I20241202003071
Provider NameDouglas B Thigpen
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1003375817
PECOS PAC ID: 9638605314
Enrollment ID: I20241204003113
Provider NameAnn I Akpaka
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528841665
PECOS PAC ID: 9335671809
Enrollment ID: I20241204003392
Provider NameTheresa A Day
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1427559772
PECOS PAC ID: 6901332485
Enrollment ID: I20241206002021

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.