DESERT BLOOM HEALTH COLLABORATIVE LLC NPI 1851147060

NPI Information

  • NPI: 1851147060
  • Provider Name: DESERT BLOOM HEALTH COLLABORATIVE LLC
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • Doing Business As: DESERT BLOOM HEALTH COLLABORATIVE
  • CLIA Number: 32D2305650
  • Address: 6121 INDIAN SCHOOL RD NE STE 143
    ALBUQUERQUE, NM
    ZIP 87110
  • Phone: (413) 726-4799

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NPI Details

DESERT BLOOM HEALTH COLLABORATIVE LLC is a psychiatry psychiatry neurology in Albuquerque, NM. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. DESERT BLOOM HEALTH COLLABORATIVE LLC NPI is 1851147060. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Desert Bloom Health Collaborative.

The provider's business location address is:

6121 INDIAN SCHOOL RD NE STE 143
ALBUQUERQUE, NM
ZIP 87110-176
Phone: (413) 726-4799
Fax: (505) 213-6301

The provider's authorized official is Shashwat Pandhi .
The authorized official title is Owner and has the following contact phone number (505) 542-4970.

The CLIA number assigned to this NPI record is 32D2305650 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2024 and was last updated on 10/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2103TA0400XPsychologistAddiction (Substance Use Disorder)No
3103TA0700XPsychologistAdult Development & AgingNo
4103TC0700XPsychologistClinicalNo
5103TC1900XPsychologistCounselingNo
6103TC2200XPsychologistClinical Child & AdolescentNo
7103TP2701XPsychologistGroup PsychotherapyNo
81041C0700XSocial WorkerClinicalNo
9106H00000XMarriage & Family TherapistNo
10207Q00000XFamily MedicineNo
112083A0300XPreventive MedicineAddiction MedicineNo
122084A0401XPsychiatry & NeurologyAddiction MedicineNo
132084P0800XPsychiatry & NeurologyPsychiatryYes
142084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
152084P0805XPsychiatry & NeurologyGeriatric PsychiatryNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
176487326MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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