Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pine Psychiatric Care Services LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1619647484

Pine Psychiatric Care Services LLC is a Psychiatric/Mental Health Nurse Practitioner in Albuquerque, New Mexico. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2727 San Pedro Dr NE Ste 118
Albuquerque, NM 87110-3364
Phone: (505) 361-6580
Fax: (505) 717-4007
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1619647484
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mercy Itesa — Owner · (505) 361-6580
NPI enumeratedSeptember 14, 2021
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026
Mailing address2727 San Pedro Dr Ne Ste 118, Albuquerque, NM 87110-3364

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