Carol R Burks PHD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

651 Issued in NM

Legal business name

CAROL R BURKS PHD LLC

Practice address

225 E Idaho Ave
Suite 10
Las Cruces, NM 88005-3257

Phone

(575) 524-8404

NPI assigned

Mar 4, 2008

Last updated

Mar 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carol R Burks, PHD

Title

PHD/President

Phone

(575) 524-8404

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1255501359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16254",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880046254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E IDAHO AVE",
            "address_2": "SUITE 10",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053257",
            "telephone_number": "575-524-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL R BURKS PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHD/PRESIDENT",
        "authorized_official_telephone_number": "575-524-8404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wreatha Carner, C.N.M.
• Dora Caro, LPCC
• Geneva Caro, LMSW
• Trinady Caro
• Alan E. Caroe, M.D.
• Carole a. Grady LPCC
• Carolyn Toenniges
• Carolyn Toenniges
• Jacqueline Carpenter
• Guadalupe Carranza Alvarez

• Clinical Psychologist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Clinical Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.