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NEW MEXICO PSYCHOLOGICAL MEDICINE LLC NPI 1205331121


NPI Information

NPI: 1205331121
Provider Name: NEW MEXICO PSYCHOLOGICAL MEDICINE, LLC
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
1401 S DON ROSER DR
LAS CRUCES, NM
ZIP 88011
Phone: (575) 520-2230
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NEW MEXICO PSYCHOLOGICAL MEDICINE, LLC 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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. NEW MEXICO PSYCHOLOGICAL MEDICINE, LLC NPI is 1205331121. The provider is registered as an organization entity type.

The provider's business location address is:

1401 S DON ROSER DR
LAS CRUCES, NM
ZIP 88011
Phone: (575) 520-2230

The provider's authorized official is Victor Torres .
The authorized official title is Chief Operating Officer and has the following contact phone number (575) 520-2230.

The enumeration date for this NPI number is 3/25/2018 and was last updated on 5/15/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2103TP0016XPsychologistPrescribing (Medical)0057CNEW MEXICOYes

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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