NPIMap

Organization Active NPI

Yucca Therapy Services

  • Clinical Social Worker
  • Mesilla Park, NM
National Provider Identifier
1275924839
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I3577 Issued in NM
Legal business name
YUCCA THERAPY SERVICES
Practice address
211 Blue Sky LN
Mesilla Park, NM 88047-9751
Phone
(575) 496-0899
Fax
(575) 377-8373
NPI assigned
Feb 17, 2015
Last updated
Feb 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Authorized official

Name
Ms. Maria Trujillo, M.A., CCC-SLP
Title
Owner, Speech-Language Pathologist
Phone
(575) 496-0899

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X I3577 NM Primary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 235Z00000X 1769 NM

Addresses

Primary practice location

211 Blue Sky LN
Mesilla Park, NM 88047-9751

Mailing address

211 Blue Sky LN
Mesilla Park, NM 88047-9751
Phone (575) 496-0899

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1275924839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BLUE SKY LN",
            "city": "MESILLA PARK",
            "state": "NM",
            "postal_code": "880479751",
            "telephone_number": "575-496-0899",
            "fax_number": "575-377-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BLUE SKY LN",
            "city": "MESILLA PARK",
            "state": "NM",
            "postal_code": "880479751",
            "telephone_number": "575-496-0899",
            "fax_number": "575-377-8373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUCCA THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER, SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "575-496-0899",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "I3577",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "1769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesilla Park, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.