Active NPI
New Mexico Community Psychiatry, PC
- Psychiatry Physician
- Clovis, NM
National Provider Identifier
1881881902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD2007-0653
- Legal business name
- NEW MEXICO COMMUNITY PSYCHIATRY, PC
- Practice address
- 1916 W 21St St
Clovis, NM 88101-4026 - Phone
- (575) 935-2121
- Fax
- (575) 935-2122
- NPI assigned
- Oct 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anne S Ortiz, M.D.
- Title
- Owner
- Phone
- (575) 799-1412
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD2007-0653 | NM | Primary |
Addresses
Primary practice location
1916 W 21St St
Clovis, NM 88101-4026
Mailing address
1916 W 21St St
Clovis, NM 88101-4026
Phone (575) 799-1412
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2885408 | Other | NM | NEW MEXICO REGISTRATION N |
National Provider Directory
National Provider DirectoryLocations
1916 W 21st St
Clovis, NM 88101
Phone (575) 935-2121
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Clovis, NM
- NPI 1144417262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191283200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1368662400000",
"number": "1881881902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1916 W 21ST ST",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881014026",
"telephone_number": "575-799-1412",
"fax_number": "575-935-2122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1916 W 21ST ST",
"city": "CLOVIS",
"state": "NM",
"postal_code": "881014026",
"telephone_number": "575-935-2121",
"fax_number": "575-935-2122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW MEXICO COMMUNITY PSYCHIATRY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-02",
"last_updated": "2013-05-16",
"status": "A",
"authorized_official_last_name": "ORTIZ",
"authorized_official_first_name": "ANNE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "575-799-1412",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NM",
"license": "MD2007-0653",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW MEXICO REGISTRATION N",
"identifier": "2885408",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.