Active NPI
Leticia Mora, PH.D.
- School Psychologist
- Las Cruces, NM
National Provider Identifier
1689903569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 089692
- Practice address
- 402 West Court Ave
Las Cruces, NM 88005-2530 - Phone
- (575) 541-0145
- NPI assigned
- Dec 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 089692 | NM | Primary |
Addresses
Primary practice location
402 West Court Ave
Las Cruces, NM 88005-2530
Mailing address
402 West Court Ave
Las Cruces, NM 88005-2530
Phone (575) 541-0145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 089692 | NM | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261526400000",
"number": "1689903569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 WEST COURT AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880052530",
"telephone_number": "575-541-0145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 WEST COURT AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880052530",
"telephone_number": "575-541-0145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORA",
"first_name": "LETICIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-23",
"last_updated": "2009-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NM",
"license": "089692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.