Four Corners Mental and Behavioral Health PC
NPI 1891056909 · Psychiatry Physician · Albuquerque, NM
Provider details
- NPI number
- 1891056909
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shannon Baca, Office Manager(505) 200-9855
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Allopathic & Osteopathic Physicians
- Child & Adolescent Psychiatry Physician2084P0804X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Fcmbh-Pc
Additional practice locations (1)
- 5801 Osuna Rd NeSuite A106Albuquerque, NM 87109Phone: (505) 504-5505Fax: (505) 214-5614
Registry dates
- Enumerated
- 2012-06-05
- Last updated
- 2023-08-29
- Certified
- 2023-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.