NPIMap

Organization Active NPI

Rio Grande Psychological Services Inc

  • Psychologist
  • Las Cruces, NM
National Provider Identifier
1194017558
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
542 Issued in NM
Legal business name
RIO GRANDE PSYCHOLOGICAL SERVICES INC
Practice address
11 Lebanon Arc
Las Cruces, NM 88005-3749
Phone
(575) 526-1036
Fax
(575) 524-1317
NPI assigned
May 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Dr. Rod Merta
Title
President
Phone
(575) 526-1036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 542 NM Primary

Addresses

Primary practice location

11 Lebanon Arc
Las Cruces, NM 88005-3749

Mailing address

11 Lebanon Arc
Las Cruces, NM 88005-3749
Phone (575) 526-1036

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1194017558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LEBANON ARC",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053749",
            "telephone_number": "575-526-1036",
            "fax_number": "575-524-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LEBANON ARC",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053749",
            "telephone_number": "575-526-1036",
            "fax_number": "575-524-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO GRANDE PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "MERTA",
        "authorized_official_first_name": "ROD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-526-1036",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NM",
            "license": "542",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 4, 2011; 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.