Organization Active NPI

Lifeworks Unlimited Inc

  • Psychologist
  • Las Cruces, NM
National Provider Identifier
1225114598
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1297 Issued in NM
Legal business name
LIFEWORKS UNLIMITED INC
Practice address
3831 E Lohman Ave # 2
Las Cruces, NM 88011-8266
Phone
(575) 523-4036
Fax
(575) 523-4038
NPI assigned
Oct 31, 2006
Last updated
Jul 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
Dr. Luisa Pastora Castellanos, PHDNPI 1801944863
Title
President
Phone
(575) 523-4036

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
Psychologist 103T00000X 1297 NM Primary

Addresses

Primary practice location

3831 E Lohman Ave # 2
Las Cruces, NM 88011-8266

Mailing address

PO Box 13914
Las Cruces, NM 88013-3914
Phone (575) 523-4036

Other identifiers 4

IdentifierTypeStateIssuer
53784740MedicaidNM
86998OtherNMPRESBYTERIAN
NM102144OtherNMVALUE OPTIONS
00NM00JM73OtherNMBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051025000494 NM Part B Supplier - Clinic/Group Practice 7416974993 Receives reassigned benefits from 1 practitioner
Practice locations: Las Cruces, NM

National Provider Directory

National Provider Directory

Locations

3831 E Lohman Ave
Fl 2
Las Cruces, NM 88011
Phone (505) 523-4036

3885 Foothills Rd
Ste A2
Las Cruces, NM 88011
Phone (505) 523-4036

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": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1225114598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13914",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880133914",
            "telephone_number": "575-523-4036",
            "fax_number": "575-523-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 E LOHMAN AVE # 2",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118266",
            "telephone_number": "575-523-4036",
            "fax_number": "575-523-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWORKS UNLIMITED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "CASTELLANOS",
        "authorized_official_first_name": "LUISA",
        "authorized_official_middle_name": "PASTORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-523-4036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NM",
            "license": "1297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53784740",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN",
            "identifier": "86998",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "NM102144",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00NM00JM73",
            "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 Jul 8, 2015; 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.