Organization Active NPI

DRW Behavioral Health Services, LLC

  • Prescribing (Medical) Psychologist
  • Las Cruces, NM
National Provider Identifier
1982024105
Registry record updated Apr 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
0042C Issued in NM
Legal business name
DRW BEHAVIORAL HEALTH SERVICES, LLC
Practice address
1395 Missouri Ave
Las Cruces, NM 88001-5327
Phone
(575) 522-5466
Fax
(575) 521-8611
NPI assigned
Apr 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2014

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

Authorized official

Name
Dr. Deborah L Kos, PSYD
Title
Owner/Psychologist
Phone
(575) 522-5466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X 0042C 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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398556800000",
    "number": "1982024105",
    "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": {
        "organization_name": "DRW BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-27",
        "last_updated": "2014-04-27",
        "status": "A",
        "authorized_official_last_name": "KOS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "575-522-5466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NM",
            "license": "0042C",
            "primary": true
        }
    ],
    "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 Apr 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.