Kay E. Ennis, PHD – Psychologist in Las Cruces, NM

Key facts

NPI: 1003909730
Entity type: Individual (NPI type 1)
Primary specialty: Psychologist 103T00000X
License: 1034 (NM)
Practice address: 2800 Nieve LN
Las Cruces, NM 88005-4352
Phone: (575) 640-7022
NPI assigned: Oct 2, 2006
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

Strength Based Psychological Services, LLC Psychologist · Las Cruces, NM · NPI 1700043809

NPD (past) PSYCHOLOGIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Philosophy

State licenses

License	State	Type	Specialty
1034	NM	MD	Acupuncturist

Practice roles

Organization	Specialty	Status	New patients
Strength Based Psychological Services, LLC	Psychologist	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychologist	103T00000X	1034	NM	Yes

Addresses

Primary practice location

2800 Nieve LN
Las Cruces, NM 88005-4352

Mailing address

2800 Nieve LN
Las Cruces, NM 88005-4352
Phone (575) 640-7022

Other identifiers

Identifier	Type	State	Issuer
NM600035	Other	NM	VALUE OPTIONS

Other providers in Las Cruces, NM

All providers in Las Cruces, NM · Psychologist in New Mexico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.