BEHAVIOR AND FAMILY THERAPY SERVICES NPI 1205005196

NPI Information

NPI: 1205005196
Provider Name: BEHAVIOR AND FAMILY THERAPY SERVICES
Classification: Psychologist - 103TP0016X
Specialization: Prescribing (Medical)
Entity Type: Organization
Address: 1990 E LOHMAN AVE STE 225
LAS CRUCES, NM
ZIP 88001
Phone: (575) 650-8415

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NPI Details

BEHAVIOR AND FAMILY THERAPY SERVICES is a prescribing (medical) psychologist in Las Cruces, NM. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. BEHAVIOR AND FAMILY THERAPY SERVICES NPI is 1205005196. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1990 E LOHMAN AVE STE 225
LAS CRUCES, NM
ZIP 88001-172
Phone: (575) 650-8415
Fax: (575) 521-9215

The provider's authorized official is Robert C. Mayfield .
The authorized official title is Ceo and has the following contact phone number (575) 650-8415.

The enumeration date for this NPI number is 2/25/2008 and was last updated on 6/18/2013.

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	101YP2500X	Counselor	Professional	0101061	NEW MEXICO	No
2	103TC1900X	Psychologist	Counseling	NM0943	NEW MEXICO	No
3	1041C0700X	Social Worker	Clinical	I-3644	NEW MEXICO	No
4	1041C0700X	Social Worker	Clinical	M-05824	NEW MEXICO	No
5	1041C0700X	Social Worker	Clinical	I-06500	NEW MEXICO	No
6	103TP0016X	Psychologist	Prescribing (Medical)	0010C	NEW MEXICO	Yes

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
1	NMB2154	MEDICARE PIN
2	10075381	MEDICAID	NEW 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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