Campo Behavioral Health, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

8136 Issued in NM

Legal business name

CAMPO BEHAVIORAL HEALTH, LLC

Practice address

424 N Mesilla St
Las Cruces, NM 88005-2566

Phone

(505) 525-8250

Fax

(505) 647-2543

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Derek Jones Reed

Title

Cfo

Phone

(505) 525-8250

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel J Brandt, M.D., P.C.

  • Psychiatry Physician
  • Las Cruces, NM
  • NPI 1811070006
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275680589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 N MESILLA ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052566",
            "telephone_number": "505-525-8250",
            "fax_number": "505-647-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N MESILLA ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052566",
            "telephone_number": "505-525-8250",
            "fax_number": "505-647-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPO BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "505-525-8250",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NM",
            "license": "8136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D1001",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen Yvonne Campbell, FNP-C
• Jahnese Campbell
• Laurie Denise Campbell, PT
• Nancy J Campbell, LISW
• Sirquintin Campbell
• Campos Associates LLC
• Julieta Campos-Medina, LMHC, MA
• Adrian Roberto Martinez Campos, DO
• Carlos Campos Jr., LCSW, LADAC
• Celeste Campos, LAMFT

• Developmentally Disabled Services Day Training Agency in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Developmentally Disabled Services Day Training Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.