OrganizationActive
Telemental Health Link LLC
NPI 1972367290 · Psychiatric/Mental Health Nurse Practitioner · Albuquerque, NM
Provider details
- NPI number
- 1972367290
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Telemental Health Link LLC
- Organization subpart
- Yes
- Authorized official
- Susan Derivas, Ao(208) 775-7418
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
5700 Harper Dr Ne Ste 210-4
Albuquerque, NM 87109-3573
Phone: (208) 775-7418
Fax: (208) 768-4500
Street-level locationGet directions
Mailing address
4055 E Blueberry St
Meridian, ID 83642-8261
Other names (DBA / former)
- Doing business as
- Telemental Health Link -Nm
- Doing business as
- Thl New Mexico
- Doing business as
- Telemental Health Link New Mexico
Additional practice locations (1)
- 4055 E Blueberry StMeridian, ID 83642-8261Phone: (208) 600-2060
Registry dates
- Enumerated
- 2024-02-07
- Last updated
- 2024-02-07
- Certified
- 2024-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.