JUAN MENDOZA (NPI# 1326420951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326420951 |
| Entity Type | Individual |
| Full Name | JUAN MENDOZA |
| Practice Address |
715 E. Idaho Las Cruces NM 88007 |
| Mailing Address |
4939 Sherwood Dr. Las Cruces NM 88012 |
| Practice Telephone | 5755242505 |
| Mailing Telephone | 5755242505 |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2015-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
0169701 | NM | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457820193 | Juan Mendoza | Social Worker | 1905 Santa Paula Dr Apt C, Las Vegas, NV 89104-2422 | 2018-11-23 |
| 1811375090 | Juan Mendoza | Occupational Therapy Assistant | 7360 W Archer Pl, Lakewood, CO 80226-2000 | 2015-05-08 |
| 1083148126 | Juan Daniel Mendoza | Military Health Care Provider | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431 | 2017-04-15 |
| 1477992667 | Juan C Mendoza | Marriage & Family Therapist | 14624 Sherman Way Ste 508, Van Nuys, CA 91405-2289 | 2013-06-20 |
| 1720337751 | Juan A. Mendoza | Counselor | 564 Rio Lindo Avenue, Suite 103, Chico, CA 95926 | 2012-09-06 |
| 1730478231 | Juan J Mendoza | Specialist/Technologist | 406 Chelsea St, El Paso, TX 79905-1708 | 2011-04-05 |
| 1588964464 | Juan Antonio Mendoza | Orthotist | 6190 Fairmount Ave, Suite A, San Diego, CA 92120-3428 | 2010-10-26 |
| Street Address |
715 E. IDAHO |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952814196 | Debra G Hanus | Registered Nurse | 12325 Fort Mcrae Rd., Las Cruces, NM 88007 | 2017-11-09 |
| 1730698309 | Equine Assisted Programs of Southern New Mexico LLC | Clinic/Center | 190 Providence Road, Las Cruces, NM 88007 | 2017-09-26 |
| 1952841926 | Kimberly Danielle Diaz | Marriage & Family Therapist | 471 Alvillar Rd, Las Cruces, NM 88007 | 2017-02-24 |
| 1801206974 | Sonnie Michelle Sanchez | Case Manager/Care Coordinator | 2211 N. Valley Dr., Las Cruces, NM 88007 | 2014-04-29 |
| 1932528171 | Carrie A Jones | Case Manager/Care Coordinator | 2211 N. Valley, Las Cruces, NM 88007 | 2014-04-15 |
| 1881015402 | Tony Trevino | Case Manager/Care Coordinator | 660 Copa Lane, Las Cruces, NM 88007 | 2013-12-27 |
| 1982025508 | Gilbert L Barela | Case Manager/Care Coordinator | 440 Helens Place, Las Cruces, NM 88007 | 2013-12-27 |
| 1497176010 | Heather Barela | Case Manager/Care Coordinator | 305 Windchime Lane, Las Cruces, NM 88007 | 2013-12-27 |
| 1962833194 | Sylvia Trevino | Case Manager/Care Coordinator | 660 Copa Ln., Las Cruces, NM 88007 | 2013-12-13 |
| 1417389081 | Madeline M Isaacks | Mechanotherapist | 3961 E. Lohman Ave., Suite 34, Las Cruces, NM 88007 | 2013-08-06 |
| Find all providers in zip 88007 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720201759 | Stephen J Schoen | Psychologist | 1879 El Segundo Trl, Las Cruces, NM 88011-4033 | 2007-04-10 |
| 1588003123 | Maria Inez Bagwell | Psychologist | 100 W. Griggs Ave, Las Cruces, NM 88001 | 2013-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265698880 | Recovery Physician Group of California, LLC | Psychologist | 551 W Cordova Rd Ste 818, Santa Fe, NM 87505-1825 | 2008-08-04 |
| 1043378771 | Nancy Handmaker | Psychologist | 3949 Corrales Road, Suite 240, Corrales, NM 87048 | 2006-12-05 |
| 1881207496 | Kevin Ryan Puckett I | Psychologist | 1528 Five Points Rd Sw, Albuquerque, NM 87105-3179 | 2020-08-25 |
| 1518485812 | Windsong Counseling & Consultation, LLC | Psychologist | 9426 Indian School Rd Ne Ste 1, Albuquerque, NM 87112-2887 | 2017-09-07 |
| 1558762245 | Sage Addiction Treatment Services | Psychologist | 2929 Coors Blvd Nw Ste 100d, Albuquerque, NM 87120-1272 | 2014-09-12 |
| 1740553593 | Amanda R Martinez | Psychologist | 1615 Ojo Court, Farmington, NM 87401 | 2012-02-09 |
| 1437346566 | Thomas Paul Dominguez | Psychologist | 625 Truman St Ne, Albuquerque, NM 87110-6443 | 2007-10-02 |
| 1578632741 | Anne Rose | Psychologist | 11005 Spain Rd Ne, Albuquerque, NM 87111-1899 | 2006-11-06 |
| City | LAS CRUCES |
| Zip Code | 88007 |
Please comment or provide details below to improve the information on JUAN MENDOZA.
| 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.