Individual provider Active NPI

Corey J Vas, PHD

  • Psychologist
  • Las Cruces, NM
National Provider Identifier
1003341975
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0844 Issued in NM
Practice address
741 N Alameda Blvd Ste 6
Las Cruces, NM 88005-2172
Phone
(575) 496-2616
Fax
(575) 571-4483
NPI assigned
Apr 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0844 NM Primary
Cognitive & Behavioral Psychologist 103TB0200X 0844 NM
Counseling Psychologist 103TC1900X 0844 NM
Family Psychologist 103TF0000X 0844 NM
Group Psychotherapy Psychologist 103TP2701X 0844 NM

Addresses

Primary practice location

741 N Alameda Blvd Ste 6
Las Cruces, NM 88005-2172

Mailing address

741 N Alameda Blvd Ste 6
Las Cruces, NM 88005-2172
Phone (575) 496-2616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180102002423 NM Practitioner - Clinical Psychologist 3274801071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2801 Missouri Ave
Suite 36
Las Cruces, NM 88011-9151
Phone (575) 496-2616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0844NMMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Karen D Schaefer PHD Psychological Services LLC PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1003341975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 N ALAMEDA BLVD STE 6",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052172",
            "telephone_number": "575-496-2616",
            "fax_number": "575-571-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 N ALAMEDA BLVD STE 6",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052172",
            "telephone_number": "575-496-2616",
            "fax_number": "575-571-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAS",
        "first_name": "COREY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NM",
            "license": "0844",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NM",
            "license": "0844",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NM",
            "license": "0844",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NM",
            "license": "0844",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NM",
            "license": "0844",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.