Organization Active NPI

Marjean Spayer PHD PC

  • Clinical Psychologist
  • Las Cruces, NM
National Provider Identifier
1407049950
Registry record updated Aug 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
577 Issued in NM
Legal business name
MARJEAN SPAYER PHD PC
Practice address
3003 Hillrise Dr
Suite B-2
Las Cruces, NM 88011-4897
Phone
(505) 521-4800
Fax
(505) 521-6399
NPI assigned
Aug 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2007

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

Authorized official

Name
Dr. Marjean Spayer, PH DNPI 1518027499
Title
President
Phone
(505) 521-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 577 NM Primary

Addresses

Primary practice location

3003 Hillrise Dr
Suite B-2
Las Cruces, NM 88011-4897

Mailing address

PO Box 13242
Las Cruces, NM 88013-3242
Phone (505) 521-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070821000223 NM Part B Supplier - Clinic/Group Practice 4385736461 Receives reassigned benefits from 1 practitioner
Practice locations: Las Cruces, NM

National Provider Directory

National Provider Directory

Locations

3003 Hillrise Dr
Ste B2
Las Cruces, NM 88011
Phone (505) 521-4800

3003 Hillrise Dr
Ste 2B
Las Cruces, NM 88011
Phone (575) 521-4800

3003 Hillrise Dr
#B2
Las Cruces, NM 88011
Phone (505) 521-4800

1115 Commerce Dr
Ste 4
Las Cruces, NM 88011
Phone (505) 496-1867

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187395200000",
    "number": "1407049950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13242",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880133242",
            "telephone_number": "505-521-4800",
            "fax_number": "505-521-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 HILLRISE DR",
            "address_2": "SUITE B-2",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114897",
            "telephone_number": "505-521-4800",
            "fax_number": "505-521-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARJEAN SPAYER PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-18",
        "last_updated": "2007-08-18",
        "status": "A",
        "authorized_official_last_name": "SPAYER",
        "authorized_official_first_name": "MARJEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-521-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "577",
            "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 Aug 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.