Active NPI
Brenda Lynn Mayne, PH.D.
- Adult Development & Aging Psychologist
- Rio Rancho, NM
National Provider Identifier
1033235767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Development & Aging Psychologist
- Practice address
- 4011 Barbara Loop SE
Ste. 103
Rio Rancho, NM 87124-1039 - Phone
- (505) 238-7081
- Fax
- (505) 891-1768
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0785 | NM | |
| Adult Development & Aging Psychologist | 103TA0700X | Primary |
Addresses
Primary practice location
4011 Barbara Loop SE
Ste. 103
Rio Rancho, NM 87124-1039
Mailing address
4011 Barbara Loop SE
Ste. 103
Rio Rancho, NM 87124-1039
Phone (505) 238-7081
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G2147 | Medicaid | NM |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Enhancement Center, P.C. | Psychologist | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1033235767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4011 BARBARA LOOP SE",
"address_2": "STE. 103",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871241039",
"telephone_number": "505-238-7081",
"fax_number": "505-891-1768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 BARBARA LOOP SE",
"address_2": "STE. 103",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871241039",
"telephone_number": "505-238-7081",
"fax_number": "505-891-1768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYNE",
"first_name": "BRENDA",
"middle_name": "LYNN",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NM",
"license": "0785",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G2147",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.