Individual provider Active NPI

Erika Milena Guzman, PSYD

  • Clinical Psychologist
  • Rio Rancho, NM
National Provider Identifier
1487169850
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
00004646 Issued in CO
Practice address
1509 Luz de Sol Dr SE
Rio Rancho, NM 87124-8727
Phone
(719) 321-5760
NPI assigned
Dec 7, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 00004646 CO Primary

Addresses

Primary practice location

1509 Luz de Sol Dr SE
Rio Rancho, NM 87124-8727

Mailing address

1509 Luz de Sol Dr SE
Rio Rancho, NM 87124-8727
Phone (719) 321-5760

Other practice location 1

2219 Essex Ln
Colorado Springs, CO 80909-1427
Phone (719) 321-5760

Other practice location 2

105 S Coronado Ave
Espanola, NM 87532-2862
Phone (719) 321-5760

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

State licenses

LicenseStateTypeSpecialty
00004646COMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487169850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 LUZ DE SOL DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871248727",
            "telephone_number": "719-321-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 LUZ DE SOL DR SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871248727",
            "telephone_number": "719-321-5760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2219 Essex Ln",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809091427",
            "country_code": "US",
            "telephone_number": "719-321-5760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 S Coronado Ave",
            "address_purpose": "LOCATION",
            "city": "Espanola",
            "state": "NM",
            "postal_code": "875322862",
            "country_code": "US",
            "telephone_number": "719-321-5760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "ERIKA",
        "middle_name": "MILENA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "00004646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.