Active NPI
Kristy L. Scullion-McPherson, PHD
- Psychologist
- Las Cruces, NM
National Provider Identifier
1104375344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1013
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristy L. Scullion-McPherson, PHD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03097208006 | Other | NM | CRS-1 |
| 511980 | Other | NM | MEDICARE PTAN NO. |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Psychologist
- Las Cruces, NM
- NPI 1508934019
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.