Active NPI
Behavior and Family Therapy Services
- Prescribing (Medical) Psychologist
- Las Cruces, NM
National Provider Identifier
1205005196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- 0010C
- Legal business name
- BEHAVIOR AND FAMILY THERAPY SERVICES
- Practice address
- 1990 E Lohman Ave Ste 225
Las Cruces, NM 88001-3172 - Phone
- (575) 650-8415
- Fax
- (575) 521-9215
- NPI assigned
- Feb 25, 2008
- 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
- Dr. Robert C. Mayfield, PH. D.
- Title
- Ceo
- Phone
- (575) 650-8415
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0101061 | NM | |
| Counseling Psychologist | 103TC1900X | NM0943 | NM | |
| Prescribing (Medical) Psychologist | 103TP0016X | 0010C | NM | Primary |
| Clinical Social Worker | 1041C0700X | I-3644 | NM | |
| Clinical Social Worker | 1041C0700X | M-05824 | NM | |
| Clinical Social Worker | 1041C0700X | I-06500 | NM |
Addresses
Primary practice location
1990 E Lohman Ave Ste 225
Las Cruces, NM 88001-3172
Mailing address
2672 Caballo CT
Las Cruces, NM 88011-9000
Phone (575) 650-8415
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10075381 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
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.
-
- Clinical Social Worker
- Las Cruces, NM
- NPI 1679639645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371513600000",
"number": "1205005196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2672 CABALLO CT",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880119000",
"telephone_number": "575-650-8415",
"fax_number": "575-521-9215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 E LOHMAN AVE STE 225",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880013172",
"telephone_number": "575-650-8415",
"fax_number": "575-521-9215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIOR AND FAMILY THERAPY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-25",
"last_updated": "2013-06-18",
"status": "A",
"authorized_official_last_name": "MAYFIELD",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "575-650-8415",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH. D."
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0101061",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "NM",
"license": "NM0943",
"primary": false
},
{
"code": "103TP0016X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Prescribing (Medical)",
"state": "NM",
"license": "0010C",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I-3644",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "M-05824",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "I-06500",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10075381",
"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 Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.