Carrie Nassif PHD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CARRIE NASSIF PHD LLC

Practice address

10A Bad Dog Rd
El Prado, NM 87529-4402

Phone

(785) 623-4447

NPI assigned

May 22, 2024

Last updated

May 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carrie NassifNPI 1518283258

Title

Owner

Phone

(785) 623-4447

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

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.

• Carrie Lee Nassif, PH.D.

  • Clinical Psychologist
  • Hays, KS
  • NPI 1518283258

  NM

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1639918253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1497",
            "city": "EL PRADO",
            "state": "NM",
            "postal_code": "875291497",
            "telephone_number": "785-623-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10A BAD DOG RD",
            "city": "EL PRADO",
            "state": "NM",
            "postal_code": "875294402",
            "telephone_number": "785-623-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIE NASSIF PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "NASSIF",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-623-4447"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Danielle Bird
• Sandra Cecelia Bodge, CASE MANAGER
• Deborah D. Brown, M.A.,CCC-SLP
• Greta Alene Brown, LCSW
• Ed Cardenas, MSW, LISW, CAC
• Victoria A Carroccio
• Catherine Clement, DC
• Julianne Clinton, RN
• Colonias Chiropractic Center Inc
• Caroline Laetitia Colonna, DOM

• Clinical Psychologist in El Prado, NM
• Providers in El Prado, NM by specialty
• Clinical Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.