MR. JEREMY JAMES BALDILLEZ (NPI# 1003004359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003004359 |
| Entity Type | Individual |
| Full Name | MR. JEREMY JAMES BALDILLEZ |
| Practice Address |
3100 Oak St Las Cruces NM 88005-3425 |
| Mailing Address |
505 S Main St Ste 249 Las Cruces NM 88001-1206 |
| Practice Telephone | 5753233354 |
| Practice Fax Number | 5755233354 |
| Mailing Telephone | 5055275823 |
| Mailing Fax Number | 5055275886 |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2017-04-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
275299 | NM | Behavioral Health & Social Service Providers |
| Street Address |
3100 OAK ST |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88005-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093842353 | Angela P Mirabal | Social Worker | 3100 Oak St, Las Cruces, NM 88005-3425 | 2007-02-27 |
| 1689287799 | Billy Charles Nix | Counselor | 3100 Oak St, Las Cruces, NM 88005-3425 | 2020-08-28 |
| 1285244020 | Kristen Blandford-nix | Counselor | 3100 Oak St, Las Cruces, NM 88005-3425 | 2020-08-06 |
| 1831716885 | Corie Sinea Runnels | Marriage & Family Therapist | 3100 Oak St, Las Cruces, NM 88005-3425 | 2020-06-25 |
| 1861018715 | Katrinka Delgado Espinosa | Marriage & Family Therapist | 3100 Oak St, Las Cruces, NM 88005-3425 | 2020-06-16 |
| 1467088021 | Kristin Anise Knight | Counselor | 3100 Oak St, Las Cruces, NM 88005-3425 | 2020-03-16 |
| 1225678287 | Meghan M Sanchez | Social Worker | 3100 Oak St, Las Cruces, NM 88005-3425 | 2020-01-07 |
| 1245879857 | Yvonne Marie Palmer | Counselor | 3100 Oak St, Las Cruces, NM 88005-3425 | 2019-12-30 |
| 1316431414 | Amistad Children's Therapies | Speech-Language Pathologist | 3100 Oak St, Las Cruces, NM 88005-3425 | 2018-06-21 |
| 1326535840 | Tina Parnes | Social Worker | 3100 Oak St, Las Cruces, NM 88005-3425 | 2018-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158345 | Raymond Pope Stewart Jr. | Community Health Worker | 9999 W. Amador Avenue, Ste. A, Las Cruces, NM 88005 | 2019-05-09 |
| 1538638481 | Jennifer Mcafee | Social Worker | 3100 Oak St. Las Cruces, Nm, Las Cruces, NM 88005 | 2018-11-21 |
| 1023583226 | Richard Flores | Physical Therapist | 1090 Med Park Dr., Las Cruces, NM 88005 | 2018-10-04 |
| 1558850834 | Connections Therapy, Inc. | Counselor | 225 E Idaho Ave Ste 25, Las Cruces, NM 88005 | 2018-05-02 |
| 1982134771 | Madalyn Elyse Sprague | Behavior Technician | 1007 Ellendale Dr, Las Cruces, NM 88005 | 2017-06-14 |
| 1043766249 | Leandra Gabrielle Abeyta | Registered Nurse | 2363 W University Ave, Las Cruces, NM 88005 | 2016-08-28 |
| 1790172641 | Amistad Milestones LLC | Speech-Language Pathologist | 3100 Oak Street, Las Cruces, NM 88005 | 2015-04-17 |
| 1043628753 | Richael Anne Bouvet-jenkins | Social Worker | 755 W. Hadley Avenue, Las Cruces, NM 88005 | 2014-07-25 |
| 1194133801 | Helena Catalina Melendez | Dental Hygienist | 385 Calle Alegra Blg C, Las Cruces, NM 88005 | 2014-07-25 |
| 1447668256 | Cherie O'dell | Specialist | 1758 Highland Ave, Las Cruces, NM 88005 | 2014-07-24 |
| Find all providers in zip 88005 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1689903569 | Leticia Mora | Psychologist | 402 West Court Ave, Las Cruces, NM 88005-2530 | 2009-12-23 |
| 1699925594 | Jeannette Elena Dungan | Psychologist | 505 N. Main Street Ste. 249, Las Cruces, NM 88001 | 2008-09-26 |
| 1205443835 | Jaimie Dawn Jones | Psychologist | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2020-09-28 |
| 1528692324 | Tahnee Poppy | Psychologist | 505 S Main St, Las Cruces, NM 88001-1206 | 2020-03-02 |
| 1205467776 | Sandra Guzman | Psychologist | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2020-02-03 |
| 1649812751 | Yvonne Dominguez | Psychologist | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2019-10-09 |
| 1558903666 | Cristina Villa | Psychologist | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2019-10-09 |
| 1982253399 | Blanca Alicia Garcia | Psychologist | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2019-09-09 |
| 1588212120 | Stephanie Newell | Psychologist | 505 S Main St Ste 249, Las Cruces, NM 88001-1243 | 2019-08-27 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88005 |
Please comment or provide details below to improve the information on MR. JEREMY JAMES BALDILLEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.