NPIMap

Organization Active NPI

Next Step Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clovis, NM
National Provider Identifier
1427790989
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
NEXT STEP PSYCHIATRY LLC
Practice address
2504 Ashford Dr
Clovis, NM 88101-4436
Phone
(575) 208-6118
Fax
(575) 208-6753
NPI assigned
Apr 13, 2022
Last updated
Dec 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Samwel Rorya, PMHNPNPI 1811651136
Title
Owner
Phone
(575) 935-6398

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

2504 Ashford Dr
Clovis, NM 88101-4436

Mailing address

906 Pearson Dr
Roswell, NM 88201-1168
Phone (575) 935-6398

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220601002307 NM Part B Supplier - Clinic/Group Practice 8527446616 Receives reassigned benefits from 3 practitioners
Practice locations: Clovis, NM

National Provider Directory

National Provider Directory

Locations

918 Parkland Dr
Ste B
Clovis, NM 88101
Phone (575) 935-6398

613 W 2nd St
Ste 5
Roswell, NM 88201
Phone (575) 425-6047

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1427790989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 PEARSON DR",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882011168",
            "telephone_number": "575-935-6398",
            "fax_number": "575-935-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 ASHFORD DR",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014436",
            "telephone_number": "575-208-6118",
            "fax_number": "575-208-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT STEP PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "RORYA",
        "authorized_official_first_name": "SAMWEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-935-6398",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.