Joe B Alexander, PHD
Individual provider Active NPI Clinical Psychologist · Las Cruces, NM
NPI 1124113600 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1124113600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 98 (NM)
- Practice address
- 4384 Sandalwood Dr
Las Cruces, NM 88011 - Phone
- (505) 496-4914
- Fax
- (505) 521-4692
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98 | NM | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Zen Monkey Mental Health Company LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 98 | NM | Yes |
Addresses
Primary practice location
4384 Sandalwood Dr
Las Cruces, NM 88011
Mailing address
4384 Sandalwood Dr
Las Cruces, NM 88011
Phone (505) 496-4914
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F5091 | Medicaid | NM |
Other providers in Las Cruces, NM
- Aleracare of New Mexico Inc
- Alethea Laboratories Inc
- Alegra T Alexander
- Harold E Alexander Jr.
- Herlinda Alexander
- Morgan R Alexander
- Hebah Alhalholy I
- Mashal Binte Ali
- Raham Ali
- Sara Ali
All providers in Las Cruces, NM · Clinical Psychologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.