Organization Active NPI

New Mexico Community Psychiatry, PC

  • Psychiatry Physician
  • Clovis, NM
National Provider Identifier
1881881902
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD2007-0653 Issued in NM
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

Updated by the provider on May 16, 2013

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.NPI 1144417262
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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2885408OtherNMNEW MEXICO REGISTRATION N

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.