PEDIATRIC BEHAVIORAL MEDICINE INC NPI 1538425541

NPI Information

NPI: 1538425541
Provider Name: PEDIATRIC BEHAVIORAL MEDICINE, INC
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
2407 W PICACHO AVE
A104
LAS CRUCES, NM
ZIP 88007
Phone: (575) 805-0849
Get Directions

PEDIATRIC BEHAVIORAL MEDICINE, INC is a child and adolescent psychiatry psychiatry neurology in Las Cruces, NM. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. PEDIATRIC BEHAVIORAL MEDICINE, INC NPI is 1538425541. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2407 W PICACHO AVE
A104
LAS CRUCES, NM
ZIP 88007-124
Phone: (575) 805-0849
Fax: (575) 541-3617

The provider's authorized official is James W Martin .
The authorized official title is President and has the following contact phone number (575) 805-0849.

The enumeration date for this NPI number is 4/3/2012 and was last updated on 2/26/2013.

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
1	208000000X	Pediatrics		MD2008-0370	NEW MEXICO	No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	MD2008-0370	NEW MEXICO	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	MD2008-0370	NEW MEXICO	Yes

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: 4/28/2024

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