Individual provider Active NPI

Albert Galves

  • Clinical Psychologist
  • Las Cruces, NM
National Provider Identifier
1285037044
Registry record updated Dec 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1343 Issued in NM
Practice address
715 E Idaho Ave
Building 2, Suite D
Las Cruces, NM 88001-4703
Phone
(575) 571-3105
Fax
(575) 635-4331
NPI assigned
Oct 7, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2015

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 1343 NM Primary

Addresses

Primary practice location

715 E Idaho Ave
Building 2, Suite D
Las Cruces, NM 88001-4703

Mailing address

2711 Sunrise Point Rd
Las Cruces, NM 88011-5213

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
I20141203001882 NM Practitioner - Clinical Psychologist 9638491517 Practice locations: Las Cruces, NM

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2055 Hixon Dr
Las Cruces, NM 88005-3306

715 E Idaho Ave
Building 2 Suite D
Las Cruces, NM 88001-3794
Phone (575) 571-3105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1343NMMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1285037044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 SUNRISE POINT RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E IDAHO AVE",
            "address_2": "BUILDING 2, SUITE D",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880014703",
            "telephone_number": "575-571-3105",
            "fax_number": "575-635-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALVES",
        "first_name": "ALBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-07",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "1343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.