Individual provider Active NPI

Carmen Margarita Diaz, PH.D.

  • Prescribing (Medical) Psychologist
  • Las Cruces, NM
National Provider Identifier
1962421834
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
0032 Issued in NM
Practice address
201 N Church St Ste 200B
Las Cruces, NM 88001-3515
Phone
(575) 522-5802
Fax
(866) 284-6720
NPI assigned
Jul 19, 2006
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NM0912 NM
Prescribing (Medical) Psychologist 103TP0016X 0912 NM
Prescribing (Medical) Psychologist 103TP0016X 0032 NM Primary

Addresses

Primary practice location

201 N Church St Ste 200B
Las Cruces, NM 88001-3515

Mailing address

201 N Church St Ste 200B
Las Cruces, NM 88001-3515
Phone (575) 522-5802

Other practice location 1

530 De Moss St
Lordsburg, NM 88045-2618
Phone (575) 542-8384

Other identifiers 2

IdentifierTypeStateIssuer
00679577MedicaidNM
62125729MedicaidNM

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050608001225 NM Practitioner - Clinical Psychologist 5698714194 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

201 N Church St
Suite 200B
Las Cruces, NM 88001-3515
Phone (575) 522-5802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
NM0912NMMDPsychologist
0912NMMDPhysical Therapist
0032NMMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carmen M Diaz PHD CurrentSince Aug 1, 2014 Accepting new patients
Hidalgo Medical Services Current Accepting new patients
Hidalgo Medical Services CurrentSince Aug 2, 2022 Accepting new patients
Hidalgo Medical Services CurrentSince Aug 2, 2022 Accepting new patients
Don W. Hume PHD Inc. PastSince Apr 18, 2014 Accepting new patients
Triad Behavioral Health Care LLC PastSince Mar 3, 2011 Accepting new patients

Locations

201 N Church St
Ste 200B
Las Cruces, NM 88001
Phone (575) 522-5802

3831 E Lohman Ave
Ste 202
Las Cruces, NM 88011
Phone (575) 522-5802

530 De Moss St
Lordsburg, NM 88045
Phone (575) 542-2368

1007 N Pope St
Silver City, NM 88061
Phone (575) 388-1511

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1962421834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N CHURCH ST STE 200B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013515",
            "telephone_number": "575-522-5802",
            "fax_number": "866-284-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N CHURCH ST STE 200B",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880013515",
            "telephone_number": "575-522-5802",
            "fax_number": "866-284-6720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 De Moss St",
            "address_purpose": "LOCATION",
            "city": "Lordsburg",
            "state": "NM",
            "postal_code": "880452618",
            "country_code": "US",
            "telephone_number": "575-542-8384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "CARMEN",
        "middle_name": "MARGARITA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NM",
            "license": "NM0912",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NM",
            "license": "0912",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NM",
            "license": "0032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00679577",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62125729",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.