Nick Anthony Barneclo, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1108 Issued in NM

Practice address

330 N Campo St
Las Cruces, NM 88001-3433

Phone

(575) 650-0843

Fax

(805) 419-6876

NPI assigned

Dec 19, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Epoch Behavioral Healthcare Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Cruces, NM
  • NPI 1023307253
  NPD (past)

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

{
    "created_epoch": "1261180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1447589569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CHAPEL DR",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930107982",
            "telephone_number": "575-650-0843",
            "fax_number": "805-419-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N CAMPO ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013433",
            "telephone_number": "575-650-0843",
            "fax_number": "805-419-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNECLO",
        "first_name": "NICK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-19",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NM",
            "license": "1108",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY28177",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56350732",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josie Marie Barela, ATC
• Monica Rae Barela
• Olivia Barela
• Elissa Marie Barfoot, CNM, FNP
• Taylor Barlow
• Abigail Barnes
• Laura L Barnett-Queen, PH.D
• Kari A Barnett, LMFT
• Paula Rae Barnoskie, CASE MANAGER
• Danisha Caridad Baro, ED.M., M.A., LMHC

• All providers in Las Cruces, NM
• Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.