Active NPI
Nancy N Sallee, PH.D
- Clinical Psychologist
- Las Cruces, NM
National Provider Identifier
1962530121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 521
- Practice address
- 1395 Missouri Ave
Las Cruces, NM 88001-5327 - Phone
- (575) 522-5466
- Fax
- (575) 521-8611
- NPI assigned
- Mar 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 521 | NM | Primary |
Addresses
Primary practice location
1395 Missouri Ave
Las Cruces, NM 88001-5327
Mailing address
1395 Missouri Ave
Las Cruces, NM 88001-5327
Phone (575) 522-5466
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962530121 | Other | NM | NATIONAL PROVIDER IDENTIFIER NUMBER |
| 601013663 | Other | NM | PRESBYTERIAN/MAGELLAN |
| 920579500 | Other | NM | BLUE CROSS BLUE SHIELD |
| 434659 | Other | NM | PTAN (MEDICARE NOVITAS) |
| 13507182 | Other | CAQH | |
| 220147 | Other | NM | EDUCATIONAL PSYCHOLOGIST IIIA |
| 000N8486 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 521 | NM | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443225600000",
"number": "1962530121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1395 MISSOURI AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880015327",
"telephone_number": "575-522-5466",
"fax_number": "575-521-8611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 MISSOURI AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880015327",
"telephone_number": "575-522-5466",
"fax_number": "575-521-8611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALLEE",
"first_name": "NANCY",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2015-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NM",
"license": "521",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL PROVIDER IDENTIFIER NUMBER",
"identifier": "1962530121",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN/MAGELLAN",
"identifier": "601013663",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "920579500",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN (MEDICARE NOVITAS)",
"identifier": "434659",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13507182",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATIONAL PSYCHOLOGIST IIIA",
"identifier": "220147",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000N8486",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.