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BEHAVIORAL MEDICINE ASSOCIATES INC. NPI 1750451746


NPI Information

NPI: 1750451746
Provider Name: BEHAVIORAL MEDICINE ASSOCIATES, INC.
Classification: Psychologist - 103TH0100X
Entity Type: Organization

Specialization: Health Service

Address:
601 W 2ND ST STE 10
ROSWELL, NM
ZIP 88201
Phone: (505) 623-9322
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BEHAVIORAL MEDICINE ASSOCIATES, INC. is a health service psychologist in Roswell, NM. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). BEHAVIORAL MEDICINE ASSOCIATES, INC. NPI is 1750451746. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

601 W 2ND ST STE 10
ROSWELL, NM
ZIP 88201-670
Phone: (505) 623-9322
Fax: (505) 627-6339

The provider's authorized official is Brian Keith Whitlock .
The authorized official title is Chief Psychologist and has the following contact phone number (505) 623-9322.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 8/22/2020.


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
1103TH0100XPsychologistHealth Service0966NEW 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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