Active NPI
Pattijo N Velasquez, PH.D.
- Prescribing (Medical) Psychologist
- Las Cruces, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- 0051C
- Practice address
- 1505 S Don Roser Dr
Ste. a
Las Cruces, NM 88011-4596 - Phone
- (575) 636-2506
- Fax
- (888) 854-0782
- NPI assigned
- Mar 16, 2007
- Last updated
- Apr 20, 2017
- 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 |
|---|---|---|---|---|
| Prescribing (Medical) Psychologist | 103TP0016X | 0051C | NM | Primary |
Addresses
Primary practice location
1505 S Don Roser Dr
Ste. a
Las Cruces, NM 88011-4596
Mailing address
1505 S Don Roser Dr
Ste. a
Las Cruces, NM 88011-4596
Phone (575) 636-2506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1635 S Don Roser Dr
Las Cruces, NM 88011-4550
Phone (575) 636-2506
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0051C | NM | MD | Prescribing (Medical) Psychologist |
| 1278 | NM | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inetmed RX2 Inc. | Prescribing (Medical) | Current | Accepting new patients |
| Inetmed RX2 Inc. | Prescribing (Medical) | Current | Accepting new patients |
Locations
1505 S Don Roser Dr
Ste A
Las Cruces, NM 88011
Phone (575) 521-3388
1635 S Don Roser Dr
Las Cruces, NM 88011
Phone (575) 522-1241
1635 S Don Roser Dr
Ste A
Las Cruces, NM 88011
Phone (575) 635-2506
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Prescribing (Medical) Psychologist
- Las Cruces, NM
- NPI 1487107363
-
- Prescribing (Medical) Psychologist
- Las Cruces, NM
- NPI 1720521859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492646400000",
"number": "1730203860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 S DON ROSER DR",
"address_2": "STE. A",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114596",
"telephone_number": "575-636-2506",
"fax_number": "888-854-0782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 S DON ROSER DR",
"address_2": "STE. A",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114596",
"telephone_number": "575-636-2506",
"fax_number": "888-854-0782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELASQUEZ",
"first_name": "PATTIJO",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2017-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "NM",
"license": "0051C",
"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 Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.