Active NPI
Dr Osvelia G Deeds LLC
- Psychologist
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1095
- Legal business name
- DR OSVELIA G DEEDS LLC
- Practice address
- 5203 Juan Tabo Blvd NE Ste 2B
Albuquerque, NM 87111-2691 - Phone
- (505) 850-5314
- Fax
- (505) 221-5710
- NPI assigned
- Dec 2, 2011
- Last updated
- Dec 2, 2011
- 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
- Dawn Halfacre
- Title
- Credentialing Specialist
- Phone
- (505) 352-5269
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1095 | NM | Primary |
Addresses
Primary practice location
5203 Juan Tabo Blvd NE Ste 2B
Albuquerque, NM 87111-2691
Mailing address
1542 Rosalba St NE
Albuquerque, NM 87112-6552
Phone (505) 850-5314
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, AZ, NV
Enrollment records 3
National Provider Directory
National Provider DirectoryLocations
930 N Switzer Canyon Dr
Ste 102A
Flagstaff, AZ 86001
930 N Switzer Canyon Dr
Ste 105
Flagstaff, AZ 86001
9301 Indian School Rd NE
Ste 115B
Albuquerque, NM 87112
9301 Indian School Rd NE
Ste 200A
Albuquerque, NM 87112
Phone (214) 518-2035
916 Nevada Way
Ste 77
Boulder City, NV 89005
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
- NPI 1003686858
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1322784000000",
"number": "1912275124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1542 ROSALBA ST NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871126552",
"telephone_number": "505-850-5314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5203 JUAN TABO BLVD NE STE 2B",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871112691",
"telephone_number": "505-850-5314",
"fax_number": "505-221-5710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR OSVELIA G DEEDS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-02",
"last_updated": "2011-12-02",
"status": "A",
"authorized_official_last_name": "HALFACRE",
"authorized_official_first_name": "DAWN",
"authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
"authorized_official_telephone_number": "505-352-5269"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NM",
"license": "1095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.