Active NPI
Diana Salcedo, BA
- Behavior Analyst
- Anthony, NM
National Provider Identifier
1699257378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 785 Anthony Drive
Anthony, NM 88021-2671 - Phone
- (575) 882-5100
- Fax
- (575) 882-1151
- NPI assigned
- Aug 30, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
785 Anthony Drive
Anthony, NM 88021-2671
Mailing address
PO Box 2671
Anthony, NM 88021-2671
Phone (575) 882-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35650338 | Medicaid | NM |
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
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amanecer Community Counseling Center, LLC | Past | Accepting new patients | |
| Amanecer Community Counseling Center | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Santa Teresa, NM
- NPI 1033663984
-
- 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": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1699257378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2671",
"city": "ANTHONY",
"state": "NM",
"postal_code": "880212671",
"telephone_number": "575-882-5100",
"fax_number": "575-882-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 ANTHONY DRIVE",
"city": "ANTHONY",
"state": "NM",
"postal_code": "880212671",
"telephone_number": "575-882-5100",
"fax_number": "575-882-1151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALCEDO",
"first_name": "DIANA",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-30",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35650338",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anthony, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.