Individual provider Active NPI

Donna J. Winslow, PHD

  • Prescribing (Medical) Psychologist
  • Las Cruces, NM
National Provider Identifier
1285654707
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
PSY-RXP0057 Issued in NM
Practice address
2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Phone
(575) 521-5370
Fax
(575) 521-5376
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1313 NM
Prescribing (Medical) Psychologist 103TP0016X PSY-RXP0057 NM Primary

Addresses

Primary practice location

2450 S Telshor Blvd
Las Cruces, NM 88011-5069

Mailing address

PO Box 6159
Las Cruces, NM 88006-6159
Phone (575) 521-5370

Other identifiers 2

IdentifierTypeStateIssuer
6000678MedicaidNC
046HTOtherNCBCBS NC

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
I20180706000345 NM Practitioner - Clinical Psychologist 3870519820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PHC-Las Cruces Inc 22 clinicians

Practice addresses (Care Compare)

2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Phone (575) 556-6550

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1313NMMDClinical Psychologist
PSY-RXP0057NMMDPrescribing (Medical) Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
PHC Las Cruces Inc CurrentSince Jun 4, 2018 Accepting new patients
PHC Las Cruces Inc. CurrentSince Jun 4, 2018 Accepting new patients
PHC-Las Cruces Inc Current Accepting new patients
PHC Las Cruces, Inc Past Accepting new patients

Locations

2450 S Telshor Blvd
Ste B
Las Cruces, NM 88011
Phone (575) 556-5800

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

Interoperability endpoints

  • Direct secure messaging: donna.winslow.1@19849.direct.athenahealth.com

Organizations & group practices 5

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1285654707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6159",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880066159",
            "telephone_number": "575-521-5370",
            "fax_number": "575-521-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 S TELSHOR BLVD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880115069",
            "telephone_number": "575-521-5370",
            "fax_number": "575-521-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSLOW",
        "first_name": "DONNA",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "1313",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NM",
            "license": "PSY-RXP0057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000678",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "046HT",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.