Organization Active NPI

Kristy L. Scullion-McPherson, PHD

  • Psychologist
  • Las Cruces, NM
National Provider Identifier
1104375344
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1013 Issued in NM
Legal business name
KRISTY L. SCULLION-MCPHERSON, PHD
Practice address
350 El Molino Blvd
Las Cruces, NM 88005-2915
Phone
(575) 642-7200
Fax
(575) 524-5968
NPI assigned
Sep 29, 2016
Last updated
Sep 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Kristy L. Scullion-McPherson, PHDNPI 1508934019
Title
Owner
Phone
(575) 642-7200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1013 NM Primary

Addresses

Primary practice location

350 El Molino Blvd
Las Cruces, NM 88005-2915

Mailing address

350 El Molino Blvd
Las Cruces, NM 88005-2915
Phone (575) 642-7200

Other identifiers 2

IdentifierTypeStateIssuer
03097208006OtherNMCRS-1
511980OtherNMMEDICARE PTAN NO.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1104375344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 EL MOLINO BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052915",
            "telephone_number": "575-642-7200",
            "fax_number": "575-524-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 EL MOLINO BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052915",
            "telephone_number": "575-642-7200",
            "fax_number": "575-524-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTY L. SCULLION-MCPHERSON, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "SCULLION-MCPHERSON",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-642-7200",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NM",
            "license": "1013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRS-1",
            "identifier": "03097208006",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN NO.",
            "identifier": "511980",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.