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OTERO COUNTY MEDICAL GROUP NPI 1700211323


NPI Information

NPI: 1700211323
Provider Name: OTERO COUNTY MEDICAL GROUP

Doing Business As: GERALD CHAMPION SLEEP CENTER

Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
2474 INDIAN WELLS RD
ALAMOGORDO, NM
ZIP 88310
Phone: (575) 434-6000
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OTERO COUNTY MEDICAL GROUP is a clinical psychologist in Alamogordo, NM. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. OTERO COUNTY MEDICAL GROUP NPI is 1700211323. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gerald Champion Sleep Center.

The provider's business location address is:

2474 INDIAN WELLS RD
ALAMOGORDO, NM
ZIP 88310-845
Phone: (575) 434-6000

The provider's authorized official is Robert James Heckert .
The authorized official title is Ceo and has the following contact phone number (575) 443-7845.

The enumeration date for this NPI number is 9/13/2013 and was last updated on 9/13/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyNo
2103TC0700XPsychologistClinicalYes

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: 11/14/2023

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