New Mexico Psychological Services, P.C.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

142 Issued in NM

Legal business name

NEW MEXICO PSYCHOLOGICAL SERVICES, P.C.

Practice address

701 W Apache St
Farmington, NM 87401-5511

Phone

(505) 327-7777

Fax

(505) 327-7779

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert Edward Sherrill, Jr., PHD

Title

President

Phone

(505) 327-7777

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801994728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W APACHE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015511",
            "telephone_number": "505-327-7777",
            "fax_number": "505-327-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W APACHE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015511",
            "telephone_number": "505-327-7777",
            "fax_number": "505-327-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHERRILL, JR.",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-327-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NM",
            "license": "142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH PLAN",
            "identifier": "25747",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "N850",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N7935",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawnna Nelson, PTA
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• Edward E Neubauer, DDS
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• New Mexico Treatment Services LLC
• Chasitity Beulah Nez
• Dana Nez
• Leighann Nez, CPSW
• Tashina B Nez

• Clinical Neuropsychologist in Farmington, NM
• Providers in Farmington, NM by specialty
• Clinical Neuropsychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.