Kevin M McGuinness, PH.D., M.P., ABPP-CH
Individual provider Active NPI Prescribing (Medical) Psychologist · Chaparral, NM
NPI 1285767145 · NPPES record last updated Apr 25, 2013
Key facts
- NPI
- 1285767145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prescribing (Medical) Psychologist 103TP0016X
- License
- 0018 (NM)
- Practice address
- 510 E Lisa Dr
Chaparral, NM 88081-7809 - Phone
- (575) 824-0824
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0018 | NM | MD | Specialist |
| 541 | NM | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Oaks Mental Health Associates PC | Clinical | Past | Accepting new patients |
| Deer Oaks Southwest | Clinical | Past | Accepting new patients |
| Deer Oaks Geriatric Services P C | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prescribing (Medical) Psychologist | 103TP0016X | 0018 | NM | Yes |
| Clinical Psychologist | 103TC0700X | 541 | NM | |
| Health Psychologist | 103TH0004X | 541 | NM |
Addresses
Primary practice location
510 E Lisa Dr
Chaparral, NM 88081-7809
Mailing address
1395 Missouri Ave
Las Cruces, NM 88001-5327
Phone (575) 522-5466
Other providers in Chaparral, NM
- Ruth Lozano
- Tanya Sue Maestas
- Manabat LLC
- Levin E Manabat
- Javier F Martinez
- Christal Medina
- Cecilia Mendez
- Mario Mendoza
- Laura Mercado-Cuellar
- Larissa Meza
All providers in Chaparral, NM · Prescribing (Medical) Psychologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.