Active NPI
Robert C Mayfield, PH. D
- Clinical Psychologist
- Deming, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0943
- Practice address
- 125 Chaparrel Blvd NW
Deming, NM 88030-8629 - Phone
- (575) 546-4800
- Fax
- (575) 546-0685
- NPI assigned
- Dec 21, 2006
- Last updated
- Jun 3, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0943 | NM | Primary |
| Counseling Psychologist | 103TC1900X | 0943 | NM | |
| Prescribing (Medical) Psychologist | 103TP0016X | NM 0010C | NM | |
| Prescribing (Medical) Psychologist | 103TP0016X | 0008 | NM |
Addresses
Primary practice location
125 Chaparrel Blvd NW
Deming, NM 88030-8629
Mailing address
PO Box 370
Hatch, NM 87937-0370
Phone (575) 267-3280
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33530084 | Medicaid | NM | |
| 200521039 | Other | MEDICARE GROUP | |
| 10075381 | Medicaid | NM | |
| 18677037 | Medicaid | NM |
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 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
PO Box
Suite 370
Hatch, NM 87937-0370
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NM 0010C | NM | MD | Prescribing (Medical) Psychologist |
| 0008 | NM | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ben Archer Health Center | Current | Accepting new patients | |
| Ben Archer Health Center | Current | Accepting new patients | |
| Ben Archer Health Center | Current | Accepting new patients | |
| Ben Archer Health Center | Past | Accepting new patients |
Locations
1600 Thorpe Rd
Las Cruces, NM 88012
Phone (505) 267-3088
1960 N Date St
Truth Or Consequences, NM 87901
Phone (575) 894-7662
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Truth Or Consequences, NM
- NPI 1871528505
-
dba Ben Archer Health Center Deming School Base
- Federally Qualified Health Center (FQHC)
- Deming, NM
- NPI 1194443135
-
- Federally Qualified Health Center (FQHC)
- Las Cruces, NM
- NPI 1780619411
-
- Federally Qualified Health Center (FQHC)
- Deming, NM
- NPI 1205861283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433289600000",
"number": "1952465197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370",
"city": "HATCH",
"state": "NM",
"postal_code": "879370370",
"telephone_number": "575-267-3280",
"fax_number": "575-267-1747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 CHAPARREL BLVD NW",
"city": "DEMING",
"state": "NM",
"postal_code": "880308629",
"telephone_number": "575-546-4800",
"fax_number": "575-546-0685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYFIELD",
"first_name": "ROBERT",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PH. D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2015-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NM",
"license": "0943",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "NM",
"license": "0943",
"primary": false
},
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "NM",
"license": "NM 0010C",
"primary": false
},
{
"code": "103TP0016X",
"taxonomy_group": "",
"desc": "Psychologist, Prescribing (Medical)",
"state": "NM",
"license": "0008",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33530084",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "200521039",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10075381",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18677037",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Deming, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.