Active NPI
Doris Eileen Nevin, PH.D.
- Prescribing (Medical) Psychologist
- Lafayette, LA
National Provider Identifier
1902017114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- License
- 321261
- Practice address
- 1602 W Pinhook Rd Ste 303
Lafayette, LA 70508-3735 - Phone
- (337) 534-4214
- Fax
- (337) 484-1405
- NPI assigned
- May 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1431 | NM | |
| Counseling Psychologist | 103TC1900X | 0810000245 | VA | |
| Forensic Psychologist | 103TF0200X | 0810000245 | VA | |
| Prescribing (Medical) Psychologist | 103TP0016X | PSY-RXP0058 | NM | |
| Prescribing (Medical) Psychologist | 103TP0016X | 321261 | LA | Primary |
Addresses
Primary practice location
1602 W Pinhook Rd Ste 303
Lafayette, LA 70508-3735
Mailing address
305 Live Oak Dr
Lafayette, LA 70503-3903
Phone (540) 354-6174
Other practice location 1
333 NM Highway 528 NE LL 100
Rio Rancho, NM 87124-8712
Phone (540) 354-6174
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 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170623000085 | NM | Practitioner - Clinical Psychologist | 3476501610 | Practice locations: Rio Rancho, NM |
| I20241023003986 | NM | Practitioner - Psychologist Billing Independently | 3476501610 | Practice locations: Rio Rancho, NM |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Rio Rancho, NM 87174
Phone (540) 354-6174
PO Box
Suite 45681
Rio Rancho, NM 87174-5681
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1431 | NM | MD | Psychologist |
| 0810000245 | VA | MD | Counseling Psychologist |
| 321261 | LA | MD | Prescribing (Medical) Psychologist |
| PSY-RXP0058 | NM | MD | Prescribing (Medical) Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Clinical Associates P.C. | Past | Accepting new patients | |
| Elton'S Soul to Soul Company | Past | Accepting new patients | |
| Appalachian Counseling Center PC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Roanoke, VA
- NPI 1881742427
-
- Clinical Neuropsychologist
- Roanoke, VA
- NPI 1225339047
-
- Mental Health Counselor
- Roanoke, VA
- NPI 1104465129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1902017114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 LIVE OAK DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705033903",
"telephone_number": "540-354-6174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 W PINHOOK RD STE 303",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083735",
"telephone_number": "337-534-4214",
"fax_number": "337-484-1405"
}
],
"practiceLocations": [
{
"address_1": "333 NM Highway 528 NE LL 100",
"address_purpose": "LOCATION",
"city": "Rio Rancho",
"state": "NM",
"postal_code": "871248712",
"country_code": "US",
"telephone_number": "540-354-6174",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEVIN",
"first_name": "DORIS",
"middle_name": "EILEEN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-28",
"last_updated": "2022-11-15",
"certification_date": "2022-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NM",
"license": "1431",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "VA",
"license": "0810000245",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "VA",
"license": "0810000245",
"primary": false
},
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "NM",
"license": "PSY-RXP0058",
"primary": false
},
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "LA",
"license": "321261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.