Individual provider Active NPI

Rita Magdalene Pacheco-Gonzales, MD

  • Psychiatry Physician
  • Las Cruces, NM
National Provider Identifier
1679631857
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
95-124 Issued in NM
Practice address
1320 S Solano Dr
Las Cruces, NM 88001-3758
Phone
(575) 522-4004
Fax
(575) 522-9017
NPI assigned
Dec 4, 2006
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 95-124 NM Primary

Addresses

Primary practice location

1320 S Solano Dr
Las Cruces, NM 88001-3758

Mailing address

1320 S Solano Dr
Las Cruces, NM 88001-3758
Phone (575) 522-4004

Other identifiers 2

IdentifierTypeStateIssuer
18677037MedicaidNM
F4363MedicaidNM

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110606000421 NM Practitioner - Psychiatry 1658341961 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
95-124NMMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Families & Youth, Inc CurrentSince Feb 23, 2025 Accepting new patients
La Clinica de Familia, Incorporated CurrentSince Dec 5, 2015 Accepting new patients
La Clinica de Familia, Incorporated Current Accepting new patients
Santa Clara Health Center PastSince Jan 19, 2012 Accepting new patients
Cochiti Health Clinic Past Accepting new patients
Counseling Associates Inc Past Accepting new patients
Santo Domingo Health Clinic Past Accepting new patients
San Felipe Health Clinic Past Accepting new patients

Locations

826 Anthony Dr
Anthony, NM 88021
Phone (575) 201-5135

100 W Griggs Ave
Las Cruces, NM 88001
Phone (505) 647-2800

118 S Main St
Las Cruces, NM 88001
Phone (575) 527-7975

1320 S Solano Dr
Las Cruces, NM 88001
Phone (575) 522-4004

385 Calle de Alegra
Bldg A
Las Cruces, NM 88005
Phone 57552611052444

575 S Alameda Blvd
Las Cruces, NM 88005
Phone (575) 528-6400

999 W Amador Ave
Ste E
Las Cruces, NM 88005
Phone (575) 522-4004

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1679631857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 S SOLANO DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013758",
            "telephone_number": "575-522-4004",
            "fax_number": "575-522-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 S SOLANO DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013758",
            "telephone_number": "575-522-4004",
            "fax_number": "575-522-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO-GONZALES",
        "first_name": "RITA",
        "middle_name": "MAGDALENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NM",
            "license": "95-124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18677037",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F4363",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.