Active NPI
Staci Christine Ballard, PHD
- School Psychologist
- Las Cruces, NM
National Provider Identifier
1376475962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- PSY-2025-0092
- Practice address
- 2540 El Paseo Rd Ste B
Las Cruces, NM 88001-6019 - Phone
- (575) 243-5846
- NPI assigned
- May 30, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | PSY-2025-0092 | NM | Primary |
Addresses
Primary practice location
2540 El Paseo Rd Ste B
Las Cruces, NM 88001-6019
Mailing address
10150 Achenbach Canyon Rd
Las Cruces, NM 88011-9390
Phone (603) 305-5703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-2025-0092 | NM | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780099200000",
"number": "1376475962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10150 ACHENBACH CANYON RD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880119390",
"telephone_number": "603-305-5703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2540 EL PASEO RD STE B",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880016019",
"telephone_number": "575-243-5846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALLARD",
"first_name": "STACI",
"middle_name": "CHRISTINE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-30",
"last_updated": "2026-05-30",
"certification_date": "2026-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NM",
"license": "PSY-2025-0092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.