NPIMap

Organization Active NPI

Region IX Education Cooperative

  • School Psychologist
  • Ruidoso, NM
National Provider Identifier
1053710004
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
299611 Issued in NM
Legal business name
REGION IX EDUCATION COOPERATIVE
Practice address
237 Service Rd
Ruidoso, NM 88345-6063
Phone
(575) 257-2368
NPI assigned
Aug 15, 2014
Last updated
Aug 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Authorized official

Name
Evelyn Sanchez
Title
Medicaid Tech
Phone
(575) 937-2497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 299611 NM Primary

Addresses

Primary practice location

237 Service Rd
Ruidoso, NM 88345-6063

Mailing address

237 Service Rd
Ruidoso, NM 88345-6063
Phone (575) 257-2368

Other identifiers 1

IdentifierTypeStateIssuer
E7676MedicaidNM

National Provider Directory

National Provider Directory
Tax ID family
Region IX Education Cooperative7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1053710004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 SERVICE RD",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456063",
            "telephone_number": "575-257-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 SERVICE RD",
            "city": "RUIDOSO",
            "state": "NM",
            "postal_code": "883456063",
            "telephone_number": "575-257-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGION IX EDUCATION COOPERATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "MEDICAID TECH",
        "authorized_official_telephone_number": "575-937-2497"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NM",
            "license": "299611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "E7676",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruidoso, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.