Barbara Gormley, PHD
Individual provider Active NPI Psychologist · Las Cruces, NM
NPI 1366042814 · NPPES record last updated Oct 26, 2020
Key facts
- NPI
- 1366042814
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PSY1505 (NM)
- Practice address
- 501 N Roadrunner Pkwy Apt 1901
Las Cruces, NM 88011-2023 - Phone
- (404) 353-6797
- NPI assigned
- Oct 26, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Doctor on Demand Professionals P C
Practice addresses (Care Compare)
726 E Michigan Dr
Suite 101
Hobbs, NM 88240-3456
Phone (800) 997-6196
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CO, NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240217000765 | CO | Practitioner - Clinical Psychologist | 2163813403 | Reassigns benefits to 1 organization |
| I20250627002500 | NM | Practitioner - Clinical Psychologist | 2163813403 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1505 | NM | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtap Medical Group, P.C. | Current |
Accepting new patients | |
| Doctor on Demand Professionals P C | Psychologist | Current |
Accepting new patients |
Locations
1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926
275 Battery St
Ste 650
San Francisco, CA 94111
Phone 4155043838104
1900 W Littleton Blvd
Littleton, CO 80120
Phone 41550438389238
726 E Michigan Dr
Ste 101
Hobbs, NM 88240
211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411
Interoperability endpoints
- barbara.gormley.1@30520.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY1505 | NM | Yes |
Addresses
Primary practice location
501 N Roadrunner Pkwy Apt 1901
Las Cruces, NM 88011-2023
Mailing address
501 N Roadrunner Pkwy Apt 1901
Las Cruces, NM 88011-2023
Phone (404) 353-6797
Other providers in Las Cruces, NM
- Alyssa Gorby
- Carla Gordan
- Laura A Gordon
- Tracy A Gordon
- Amy S Gorelick
- Laurie A Gormley
- Thomas S Gormley
- Lilia Azucena Goroeoff
- Brandi Gorzeman
- Haley Gosnell
All providers in Las Cruces, NM · 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 Oct 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.