NPIMap

Organization Active NPI

Full Life Psychology PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • El Paso, TX
National Provider Identifier
1669068284
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FULL LIFE PSYCHOLOGY PLLC
Practice address
2629 E Yandell Dr Ste a
El Paso, TX 79903-3724
Phone
(915) 233-7145
Fax
(915) 200-0698
NPI assigned
Dec 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Ana Laura James, PHDNPI 1942896600
Title
Manager
Phone
(915) 929-7718

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

2629 E Yandell Dr Ste a
El Paso, TX 79903-3724

Mailing address

2629 E Yandell Dr Ste a
El Paso, TX 79903-3724
Phone (915) 233-7145

National Provider Directory

National Provider Directory

Locations

2629 E Yandell Dr
Ste A
El Paso, TX 79903
Phone (915) 233-7145

2629 E Yandell Dr
El Paso, TX 79903
Phone (915) 233-7145

500 W Overland Ave
Ste 250H
El Paso, TX 79901
Phone (915) 233-7145

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1669068284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2629 E YANDELL DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033724",
            "telephone_number": "915-233-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 E YANDELL DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033724",
            "telephone_number": "915-233-7145",
            "fax_number": "915-200-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL LIFE PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "LAURA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "915-929-7718",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 19, 2024; 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.