Active NPI
Kristy L Scullion-McPherson, PHD
- Psychologist
- Las Cruces, NM
National Provider Identifier
1508934019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1013
- Practice address
- 3961 E Lohman Ave
Ste 34
Las Cruces, NM 88011-8269 - Phone
- (505) 642-7200
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1013 | NM | Primary |
Addresses
Primary practice location
3961 E Lohman Ave
Ste 34
Las Cruces, NM 88011-8269
Mailing address
2922 Sundown Rd
Las Cruces, NM 88011-4612
Phone (505) 642-7200
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1013 | NM | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kristy L. Scullion-McPherson, PHD | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Las Cruces, NM
- NPI 1104375344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188345600000",
"number": "1508934019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2922 SUNDOWN RD",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114612",
"telephone_number": "505-642-7200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3961 E LOHMAN AVE",
"address_2": "STE 34",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118269",
"telephone_number": "505-642-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCULLION-MCPHERSON",
"first_name": "KRISTY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2007-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NM",
"license": "1013",
"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 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.