SOUTHERN NEW MEXICO PSYCHOLOGICAL ASSOCIATES PA (NPI# 1194870303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194870303 |
| Entity Type | Organization |
| Organization Name | SOUTHERN NEW MEXICO PSYCHOLOGICAL ASSOCIATES PA |
| Practice Address |
1655 Don Roser Dr Las Cruces NM 88011 |
| Mailing Address |
205 W Boutz Rd Bldg 1 Las Cruces NM 88005-3259 |
| Practice Telephone | 5755232227 |
| Mailing Telephone | 5755327000 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2009-07-01 |
| Authorized Official Name | HOWARD B DANIELS (PRESIDENT) |
| Authorized Official Telephone | 5755327000 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | N7425 | 05 | |
| NM | BCBS | NM01N752 | 01 |
| Street Address |
1655 DON ROSER DR |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891064150 | Randolph Philip Rountree | Psychologist | 1505 S Don Roser Dr Ste A, Las Cruces, NM 88011-4596 | 2011-12-15 |
| 1871780726 | Richard Nicastro | Psychologist | 1180 Commerce Dr, Las Cruces, NM 88011-8210 | 2007-09-25 |
| 1992928469 | Charles William Blanchard | Psychologist | 3205 Arrowhead Rd, Las Cruces, NM 88011-4786 | 2007-04-11 |
| 1316013915 | Isobel P Klein Hernandez | Psychologist | 427 N Reymond, Las Cruces, NM 88005 | 2006-11-27 |
| 1609950104 | Donna Jean Small | Psychologist | 2801 E Missouri Ave, #11, Las Cruces, NM 88011-5061 | 2006-10-24 |
| 1801978887 | Stuart S Kelter | Psychologist | 2145 El Paseo Rd, Las Cruces, NM 88001-6008 | 2006-10-19 |
| 1124113600 | Joe B Alexander | Psychologist | 4384 Sandalwood Dr, Las Cruces, NM 88011 | 2006-10-03 |
| 1477561173 | Howard B. Daniels | Psychologist | 1655 S Don Roser Dr, Las Cruces, NM 88011-4545 | 2006-08-04 |
| 1285661041 | David A Sachs | Psychologist | 3521 Del Rey Blvd, Las Cruces, NM 88012-7708 | 2006-06-27 |
| 1063488245 | Wynne E. Broms | Psychologist | 1615 S Solano Dr, Suite B, Las Cruces, NM 88001-5406 | 2006-02-27 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
Please comment or provide details below to improve the information on SOUTHERN NEW MEXICO PSYCHOLOGICAL ASSOCIATES PA.
| 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.