Active NPI
Michelle Ulibarri, PSY
- School Psychologist
- Las Vegas, NM
National Provider Identifier
1235435181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 271289
- Practice address
- 179 Bridge St
Las Vegas, NM 87701-3495 - Phone
- (505) 426-2554
- NPI assigned
- Feb 9, 2011
- Last updated
- Feb 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 271289 | NM | Primary |
Addresses
Primary practice location
179 Bridge St
Las Vegas, NM 87701-3495
Mailing address
179 Bridge St
Las Vegas, NM 87701-3495
Phone (505) 426-2554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 271289 | NM | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297209600000",
"number": "1235435181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 BRIDGE ST",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877013495",
"telephone_number": "505-426-2554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 BRIDGE ST",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877013495",
"telephone_number": "505-426-2554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULIBARRI",
"first_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "PSY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-09",
"last_updated": "2011-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NM",
"license": "271289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.