Organization Active NPI

Strength Based Psychological Services, LLC

  • Psychologist
  • Las Cruces, NM
National Provider Identifier
1700043809
Registry record updated May 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1034 Issued in NM
Legal business name
STRENGTH BASED PSYCHOLOGICAL SERVICES, LLC
Practice address
1010 Lees Dr
Las Cruces, NM 88001-1406
Phone
(575) 640-4000
Fax
(575) 541-4342
NPI assigned
May 18, 2008
Last updated
May 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2008

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

Authorized official

Name
Dr. Kay E. Ennis, PHDNPI 1003909730
Title
Owner
Phone
(575) 640-4000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1034 NM Primary

Addresses

Primary practice location

1010 Lees Dr
Las Cruces, NM 88001-1406

Mailing address

1010 Lees Dr
Las Cruces, NM 88001-1406
Phone (575) 640-4000

Other identifiers 1

IdentifierTypeStateIssuer
34054839MedicaidNM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1211068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211068800000",
    "number": "1700043809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LEES DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011406",
            "telephone_number": "575-640-4000",
            "fax_number": "575-541-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LEES DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011406",
            "telephone_number": "575-640-4000",
            "fax_number": "575-541-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRENGTH BASED PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-18",
        "last_updated": "2008-05-18",
        "status": "A",
        "authorized_official_last_name": "ENNIS",
        "authorized_official_first_name": "KAY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-640-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NM",
            "license": "1034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34054839",
            "state": "NM"
        }
    ],
    "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 May 18, 2008; 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.