Organization Active NPI

Mary Ann Cotten and Associates, Inc.

  • Health Service Psychologist
  • Alamogordo, NM
National Provider Identifier
1205039930
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
0791 Issued in NM
Legal business name
MARY ANN COTTEN AND ASSOCIATES, INC.
Practice address
1408 8TH St
Alamogordo, NM 88310-5105
Phone
(575) 439-1550
Fax
(575) 439-1552
NPI assigned
Jun 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Authorized official

Name
Dr. Mary Ann Cotten, PH.D.NPI 1730190752
Title
Owner
Phone
(575) 439-1550

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
Health Service PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TH0100X 0791 NM Primary

Addresses

Primary practice location

1408 8TH St
Alamogordo, NM 88310-5105

Mailing address

1408 8TH St
Alamogordo, NM 88310-5105
Phone (575) 439-1550

Other identifiers 1

IdentifierTypeStateIssuer
4338377MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121015000044 TX Part B Supplier - Clinic/Group Practice 3072611227 Receives reassigned benefits from 1 practitioner
Practice locations: Granbury, TX

National Provider Directory

National Provider Directory

Locations

1030 E US Highway 377
Ste 205
Granbury, TX 76048
Phone (682) 225-6990

201 E Pearl St
Ste C208
Granbury, TX 76048
Phone (817) 573-5891

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": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1205039930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 8TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105105",
            "telephone_number": "575-439-1550",
            "fax_number": "575-439-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 8TH ST",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105105",
            "telephone_number": "575-439-1550",
            "fax_number": "575-439-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ANN COTTEN AND ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "COTTEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-439-1550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": "NM",
            "license": "0791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4338377",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.

Verify at the official NPI Registry.