Individual provider Active NPI

Elysa Michelle Fraginals, PSY.D.

  • Clinical Psychologist
  • Las Cruces, NM
National Provider Identifier
1275415655
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2025 Issued in NM
Practice address
2540 El Paseo Rd Ste B
Las Cruces, NM 88001-6019
Phone
(575) 243-5846
NPI assigned
Jul 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2025 NM Primary

Addresses

Primary practice location

2540 El Paseo Rd Ste B
Las Cruces, NM 88001-6019

Mailing address

330 N Campo St
Las Cruces, NM 88001-3433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251211003822 NM Practitioner - Clinical Psychologist 2062906571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

330 N Campo St
Las Cruces, NM 88001-3433

PO Box
Suite 1173
Salem, UT 84653

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Zen House Psychology, LLC Clinical CurrentSince Oct 5, 2025 Accepting new patients

Locations

330 N Campo St
Las Cruces, NM 88001
Phone (575) 288-1336

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1275415655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N CAMPO ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 EL PASEO RD STE B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880016019",
            "telephone_number": "575-243-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAGINALS",
        "first_name": "ELYSA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "2025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.