Active NPI
David Longo
- School Psychologist
- Truth Or Consequences, NM
National Provider Identifier
1700288396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 344809
- Practice address
- 405 N Date St
Truth Or Consequences, NM 87901-2377 - Phone
- (575) 894-7589
- Fax
- (575) 894-7584
- NPI assigned
- Sep 25, 2014
- Sex
- Male
- 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 | 344809 | NM | Primary |
Addresses
Primary practice location
405 N Date St
Truth Or Consequences, NM 87901-2377
Mailing address
405 N Date St
Truth Or Consequences, NM 87901-2377
Phone (575) 894-7589
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 344809 | Other | NM | SCHOOL PSYCHOLOGIST LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 344809 | NM | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411603200000",
"number": "1700288396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 N DATE ST",
"city": "TRUTH OR CONSEQUENCES",
"state": "NM",
"postal_code": "879012377",
"telephone_number": "575-894-7589",
"fax_number": "575-894-7584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 N DATE ST",
"city": "TRUTH OR CONSEQUENCES",
"state": "NM",
"postal_code": "879012377",
"telephone_number": "575-894-7589",
"fax_number": "575-894-7584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONGO",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-25",
"last_updated": "2014-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NM",
"license": "344809",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCHOOL PSYCHOLOGIST LICENSE",
"identifier": "344809",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Truth Or Consequences, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.