Active NPI
Mariel C Mendoza, M.A., CF-SLP
- Speech-Language Pathologist
- Las Cruces, NM
National Provider Identifier
1710696356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 515366431CF7762
- Practice address
- 1090 Med Park Dr.
Las Cruces, NM 88005-3236 - Phone
- (575) 523-7243
- Fax
- (575) 525-5641
- NPI assigned
- Nov 22, 2022
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 515366431CF7762 | NM | Primary |
Addresses
Primary practice location
1090 Med Park Dr.
Las Cruces, NM 88005-3236
Mailing address
301 Perkins Dr.
Ste. C
Las Cruces, NM 88005-3248
Phone (575) 523-7243
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 515366431CF7762 | NM | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Direct Therapy Services, LLP | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1090 Med Park Dr
Las Cruces, NM 88005
Phone (575) 523-7243
301 Perkins Dr
Ste C
Las Cruces, NM 88005
Phone (575) 523-7243
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1710696356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 PERKINS DR.",
"address_2": "STE. C",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053248",
"telephone_number": "575-523-7243",
"fax_number": "575-525-5641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 MED PARK DR.",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880053236",
"telephone_number": "575-523-7243",
"fax_number": "575-525-5641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "MARIEL",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "M.A., CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-22",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NM",
"license": "515366431CF7762",
"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 Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.