Active NPI
Raymond Earl Hillis, PH.D.
- Psychologist
- Santa Fe, NM
National Provider Identifier
1013211333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1486
- Practice address
- 1536 Bishops Lodge Rd
Santa Fe, NM 87506-0005 - Phone
- (505) 412-0246
- NPI assigned
- Dec 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2254 | NM | |
| Psychologist | 103T00000X | 1486 | CO | Primary |
Addresses
Primary practice location
1536 Bishops Lodge Rd
Santa Fe, NM 87506-0005
Mailing address
PO Box 217
Saguache, CO 81149-0217
Phone (505) 412-0246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1486 | CO | MD | Clinical Social Worker |
| 2254 | NM | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1293580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1293580800000",
"number": "1013211333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 217",
"city": "SAGUACHE",
"state": "CO",
"postal_code": "811490217",
"telephone_number": "505-412-0246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1536 BISHOPS LODGE RD",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875060005",
"telephone_number": "505-412-0246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLIS",
"first_name": "RAYMOND",
"middle_name": "EARL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-12-29",
"last_updated": "2010-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "2254",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "1486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.