Organization Active NPI

Karen D Schaefer PHD Psychological Services LLC

  • Community/Behavioral Health Agency
  • Las Cruces, NM
National Provider Identifier
1972032357
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
543 Issued in NM
Legal business name
KAREN D SCHAEFER PHD PSYCHOLOGICAL SERVICES LLC
Practice address
741 N Alameda Blvd Ste 6
Las Cruces, NM 88005-2172
Phone
(575) 571-9257
Fax
(575) 571-4483
NPI assigned
Jun 8, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Karen D Schaefer, PHDNPI 1710996970
Title
Psychologist
Phone
(575) 571-9257

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 543 NM Primary
Adult Mental Health Clinic/Center 261QM0850X 543

Addresses

Primary practice location

741 N Alameda Blvd Ste 6
Las Cruces, NM 88005-2172

Mailing address

741 N Alameda Blvd Ste 6
Las Cruces, NM 88005-2172
Phone (575) 571-9257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180122000549 NM Part B Supplier - Clinic/Group Practice 5193084101 Receives reassigned benefits from 1 practitioner
Practice locations: Las Cruces, NM

National Provider Directory

National Provider Directory

Locations

741 N Alameda Blvd
Ste 6
Las Cruces, NM 88005
Phone (575) 496-2616

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.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972032357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 N ALAMEDA BLVD STE 6",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052172",
            "telephone_number": "575-571-9257",
            "fax_number": "575-571-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 N ALAMEDA BLVD STE 6",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880052172",
            "telephone_number": "575-571-9257",
            "fax_number": "575-571-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN D SCHAEFER PHD PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SCHAEFER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "575-571-9257",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "543",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": "543",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jul 21, 2022; 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.

Verify at the official NPI Registry.