Elyxcus Jasmyne Anaya
Individual provider Active NPI Psychologist · Rio Rancho, NM
NPI 1619706629 · NPPES record last updated Feb 18, 2026
Key facts
- NPI
- 1619706629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PSY-2025-0076 (NM)
- Practice address
- 3001 Broadmoor Blvd NE
Rio Rancho, NM 87144-2100 - Phone
- (505) 994-7000
- NPI assigned
- Jul 29, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Unm Medical Group Inc
Practice addresses (Care Compare)
2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2111
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260513002384 | NM | Practitioner - Clinical Psychologist | 1456833284 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-2025-0076 | NM | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY-2025-0076 | NM | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X | NM |
Addresses
Primary practice location
3001 Broadmoor Blvd NE
Rio Rancho, NM 87144-2100
Mailing address
800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310
Other practice location 1
2600 College Ave NE Fl 2
Rio Rancho, NM 87144-2103
Phone (505) 994-5050
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | UNMMG@direct.health.unm.edu | ||
| Direct Messaging Address | UNMH@direct.health.unm.edu |
Other providers in Rio Rancho, NM
- Amethyst Psychiatry and Wellness Clinic
- Nicholas Amirante
- Ammjo Care Services
- Ana Rio Rancho LTD Co
- Jherika J Anaya-Campos
- Anchors of Change Psychotherapy LLC
- Hasan David Anderson-Bey
- Cindy Vogt Anderson
- Gabriella Anderson
- Janice M Anderson
All providers in Rio Rancho, NM · Psychologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.