Organization Active NPI

Center Through the Looking Glass

  • Clinical Child & Adolescent Psychologist
  • Las Cruces, NM
National Provider Identifier
1588019996
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
189 Issued in NM
Legal business name
CENTER THROUGH THE LOOKING GLASS
Practice address
1395 Missouri Ave
Las Cruces, NM 88001-5327
Phone
(575) 522-5466
Fax
(575) 521-8611
NPI assigned
May 4, 2016
Last updated
May 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Dr. Elaine S. Levine, PH.D.NPI 1851426159
Title
Owner
Phone
(575) 522-5466

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 Child & Adolescent Psychologist 103TC2200X 189 NM Primary

Addresses

Primary practice location

1395 Missouri Ave
Las Cruces, NM 88001-5327

Mailing address

1395 Missouri Ave
Las Cruces, NM 88001-5327
Phone (575) 522-5466

Other identifiers 2

IdentifierTypeStateIssuer
0000N5897MedicaidNM
1851426159OtherNMTYPE I NPI

Other names 1

  • Elaine LeVine, Ph.D. Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1588019996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 MISSOURI AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015327",
            "telephone_number": "575-522-5466",
            "fax_number": "575-521-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 MISSOURI AVE",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015327",
            "telephone_number": "575-522-5466",
            "fax_number": "575-521-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER THROUGH THE LOOKING GLASS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-522-5466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NM",
            "license": "189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000N5897",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE I NPI",
            "identifier": "1851426159",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elaine LeVine, Ph.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 4, 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.