DR. JOHN C COURTNEY (NPI# 1023179538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023179538 |
| Entity Type | Individual |
| Full Name | DR. JOHN C COURTNEY |
| Credential | PSY.D., M.P. |
| Practice Address |
1200 Highway 60 Socorro NM 87801-3914 |
| Mailing Address |
Po Box 2267 Santa Fe NM 87504-2267 |
| Practice Telephone | 5758352444 |
| Practice Fax Number | 5758380150 |
| Mailing Telephone | 5059825565 |
| Mailing Fax Number | 5059924990 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2015-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 1232 | NM | Behavioral Health & Social Service Providers |
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
0024 | NM | Behavioral Health & Social Service Providers |
| N | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
MPAP000019 | LA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1004812 | 05 | |
| NM | 17472717 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104061027 | John Patrick Courtney Jr. | Dentist | 2600 N Military Trl, Suite 305, Boca Raton, FL 33431-6312 | 2008-12-05 |
| 1073624847 | John H. Courtney | Social Worker | 327 Main St, Catskill, NY 12414-1823 | 2006-08-31 |
| 1255310876 | John W Courtney | Anesthesiology | 510 Butler Ave, Anesthesiology Service, Martinsburg, WV 25401-9990 | 2006-01-12 |
| 1194701144 | John V. Courtney | Radiology | 1730 Park St, Suite 101, Naperville, IL 60563-2688 | 2005-12-21 |
| Street Address |
1200 HIGHWAY 60 |
| City | SOCORRO |
| State | NM |
| Zip Code | 87801-3914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538191614 | Johnnie Donn Robinson | Social Worker | 1200 Highway 60, Socorro, NM 87801-3914 | 2006-07-07 |
| 1922633965 | Sergio Martinez | Case Manager/Care Coordinator | 1200 Highway 60, Socorro, NM 87801-3914 | 2020-03-10 |
| 1801454764 | Beatriz Y Nava-mendoza | Counselor | 1200 Highway 60, Socorro, NM 87801-3914 | 2019-06-04 |
| 1962066845 | Rachel Trujillo | Case Manager/Care Coordinator | 1200 Highway 60, Socorro, NM 87801-3914 | 2019-04-26 |
| 1700385069 | Robert Carlos Griego | Social Worker | 1200 Highway 60, Socorro, NM 87801-3914 | 2018-02-01 |
| 1013415637 | Melanie J Lucero | Case Manager/Care Coordinator | 1200 Highway 60, Socorro, NM 87801-3914 | 2018-01-29 |
| 1659890374 | Amy Allison Ray | Counselor | 1200 Highway 60, Socorro, NM 87801-3914 | 2017-09-13 |
| 1588199194 | Evangel Maldonado | Case Manager/Care Coordinator | 1200 Highway 60, Socorro, NM 87801-3914 | 2017-04-21 |
| 1518499458 | Julia Hardin | Case Manager/Care Coordinator | 1200 Highway 60, Socorro, NM 87801-3914 | 2017-03-30 |
| 1346795465 | Patsy Rosas | Behavioral Analyst | 1200 Highway 60, Socorro, NM 87801-3914 | 2016-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763059 | Kyra J Saavedra | Physical Therapist | 1200 Michigan St. Socorro High School, Socorro, NM 87801 | 2020-09-01 |
| 1982255634 | Cornerstone Christian Counseling | Community/Behavioral Health | 1894 Chaparal Loop, Socorro, NM 87801 | 2019-09-24 |
| 1093282022 | Lindsay Alice Mclaughlin | Nurse Practitioner | 1204 Us-60, Building D, Socorro, NM 87801 | 2018-10-29 |
| 1003274309 | Fresenius Medical Care Sandhill, LLC | Clinic/Center | 1306 Enterprise Rd., Socorro, NM 87801 | 2016-02-02 |
| 1114391273 | Jessica Braswell I | Counselor | 1200 Us-60, Soorro, NM 87801 | 2015-11-30 |
| 1700207537 | Megan Therese Weber | Specialist/Technologist | 1115 N California St., Socorro, NM 87801 | 2013-12-20 |
| 1376892190 | Berta Alicia Portillo | Massage Therapist | 313 Hilltop, Socorro, NM 87801 | 2012-09-07 |
| 1215284146 | Presbyterian Medical Services | Clinic/Center | 1200 Michigan Street, Socorro, NM 87801 | 2012-08-09 |
| 1164541272 | Caring Dental Center PC | Dentist | 824 Highway 60, Socorro, NM 87801 | 2007-03-28 |
| 1578604039 | Jose Delfin Herrera Jr. | Occupational Therapy Assistant | 1115 N California Street, Socorro, NM 87801 | 2007-02-09 |
| Find all providers in zip 87801 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417489378 | Primary Wellness Team Corporation | Psychologist | 5805 Mcnutt Rd, Ste D, Santa Teresa, NM 88008-8001 | 2017-03-30 |
| 1154877371 | J. Michael Mash Prescribing Psychologist LLC | Psychologist | 4155 State Road 68, Unit 6, Rancho De Taos, NM 87557 | 2016-08-28 |
| 1003218553 | Integrated Healthcare of New Mexico | Psychologist | 7632 William Moyers Ave Ne, Albuquerque, NM 87122-2765 | 2014-09-16 |
| 1124466446 | Shekinah Foundation | Psychologist | 3001 S Wyoming Ave, Roswell, NM 88203-2326 | 2013-06-08 |
| 1902197098 | S M Cobb | Psychologist | 400 N Pennsylvania Ave Ste 990, Roswell, NM 88201-4754 | 2011-04-25 |
| 1730203860 | Pattijo N Velasquez | Psychologist | 1505 S Don Roser Dr, Ste. A, Las Cruces, NM 88011-4596 | 2007-03-16 |
| 1285232397 | Dr Tony J Kreuch LLC | Psychologist | 2204 Brothers Rd Ste B, Santa Fe, NM 87505-6975 | 2020-10-12 |
| 1245856913 | Paul King-miller Psyd Lpcc LLC | Psychologist | 11216 Brentwood Hills Blvd Ne, Albuquerque, NM 87112-3219 | 2020-06-18 |
| 1548677669 | Winds of Change Mental Health Services, LLC | Psychologist | 108 E High St, Grants, NM 87020-2453 | 2014-07-21 |
| 1982024105 | Drw Behavioral Health Services, LLC | Psychologist | 1395 Missouri Ave, Las Cruces, NM 88001-5327 | 2014-04-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.