NPIMap

Organization Active NPI

Autism Diagnostic Center

  • Clinical Psychologist
  • Las Cruces, NM
National Provider Identifier
1265066385
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
AUTISM DIAGNOSTIC CENTER
Practice address
1405 International Mall
Las Cruces, NM 88003
Phone
(575) 646-2235
Fax
(575) 646-7712
NPI assigned
Feb 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Denise M. Sanchez, M.A., CCC-SLP
Title
College Assistant Professor/SLP
Phone
(575) 646-2235

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

1405 International Mall
Las Cruces, NM 88003

Mailing address

P.O. Box 30001
MSC 3Spe
Las Cruces, NM 88003
Phone (575) 646-2235

National Provider Directory

National Provider Directory
Tax ID family
New Mexico State University Student Health Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1265066385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 30001",
            "address_2": "MSC 3SPE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88003",
            "telephone_number": "575-646-2235",
            "fax_number": "575-646-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 INTERNATIONAL MALL",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88003",
            "telephone_number": "575-646-2235",
            "fax_number": "575-646-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTISM DIAGNOSTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "COLLEGE ASSISTANT PROFESSOR/SLP",
        "authorized_official_telephone_number": "575-646-2235",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Feb 27, 2020; 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.