Four Corners Mental and Behavioral Health PC
NPI 1891056909 · Psychiatry Physician · Albuquerque, NM
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Four Corners Mental and Behavioral Health PC is a Psychiatry Physician organization in Albuquerque, NM (NPI 1891056909).
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
Frequently asked questions
- What is Four Corners Mental and Behavioral Health PC's NPI number?
- Four Corners Mental and Behavioral Health PC's National Provider Identifier (NPI) is 1891056909, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Four Corners Mental and Behavioral Health PC?
- Four Corners Mental and Behavioral Health PC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Four Corners Mental and Behavioral Health PC located?
- Four Corners Mental and Behavioral Health PC's practice location on file with NPPES is 1003 Luna Cir Nw, Albuquerque, NM 87102-1973.
- What is Four Corners Mental and Behavioral Health PC's phone number?
- The practice phone number listed in the NPPES registry for Four Corners Mental and Behavioral Health PC is (505) 504-5505.
- Does Four Corners Mental and Behavioral Health PC accept Medicare?
- Four Corners Mental and Behavioral Health PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Four Corners Mental and Behavioral Health PC?
- The authorized official listed on Four Corners Mental and Behavioral Health PC's NPPES record is Shannon Baca, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Four Corners Mental and Behavioral Health PC's NPI active?
- Yes — Four Corners Mental and Behavioral Health PC's NPI (1891056909) is active in the NPPES registry as of the last update on 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.