Active NPI
Alexander Kraft, PSY.D., MSCP
- Clinical Psychologist
- El Paso, TX
National Provider Identifier
1639485378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY1379
- Practice address
- 5001 North Piedras St
El Paso, TX 79930 - Phone
- (281) 536-8945
- NPI assigned
- Aug 19, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prescribing (Medical) Psychologist | 103TP0016X | NM | ||
| Clinical Psychologist | 103TC0700X | PSY1379 | NM | Primary |
Addresses
Primary practice location
5001 North Piedras St
El Paso, TX 79930
Mailing address
5001 N Piedras St
Attn Andrea Mercado / Credentialing
El Paso, TX 79930-4210
Phone (915) 564-6100
Other names 1
- Mr. Alexander Imhaeuser
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
465 Saint Michaels Dr
Suite 230
Santa Fe, NM 87505-8602
Phone (505) 913-4710
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1379 | NM | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amanecer Community Counseling Center, LLC | Past | Accepting new patients |
Interoperability endpoints
- akraft636497@christushealth.direct-ci.net
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Santa Fe, NM
- NPI 1063367803
-
- Community/Behavioral Health Agency
- Anthony, NM
- NPI 1669928982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1639485378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 N PIEDRAS ST",
"address_2": "ATTN ANDREA MERCADO / CREDENTIALING",
"city": "EL PASO",
"state": "TX",
"postal_code": "799304210",
"telephone_number": "915-564-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 NORTH PIEDRAS ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "79930",
"telephone_number": "281-536-8945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAFT",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "PSY.D., MSCP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-19",
"last_updated": "2024-06-17",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NM",
"license": "PSY1379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXANDER",
"last_name": "IMHAEUSER",
"prefix": "MR.",
"credential": "ALEXANDER IMHAEUSER",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.