ROBERT E MAITLAND (NPI# 1174032833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174032833 |
| Entity Type | Individual |
| Full Name | ROBERT E MAITLAND |
| Credential | LSAA |
| Practice Address |
105 W Griggs Ave Las Cruces NM 88001 |
| Mailing Address |
385 Calle De Alegra Ste A Las Cruces NM 88005-3423 |
| Practice Telephone | 5756472800 |
| Practice Fax Number | 5756472898 |
| Mailing Telephone | 5755261105 |
| Mailing Fax Number | 5755244266 |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2020-01-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CSA0189151 | NM | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 31071350 | 05 |
| Street Address |
105 W GRIGGS AVE |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235162934 | Sharon A. Paulowsky | Counselor | 105 W Griggs Ave, Las Cruces, NM 88001 | 2006-07-08 |
| 1205443777 | Manuela Antonia Corral | Case Manager/Care Coordinator | 105 W Griggs Ave, Las Cruces, NM 88001-1235 | 2020-09-28 |
| 1164033239 | Sonya Annette Hicks | Social Worker | 105 W Griggs Ave, Las Cruces, NM 88001-1235 | 2020-08-12 |
| 1114536984 | Heather Rose Quiroz | Social Worker | 105 W Griggs Ave, Las Cruces, NM 88001-1235 | 2020-07-28 |
| 1750908877 | Paula Rae Barnoskie | Case Manager/Care Coordinator | 105 W Griggs Ave, Las Cruces, NM 88001-1235 | 2020-07-06 |
| 1245853266 | Celia Elizabeth Perez | Case Manager/Care Coordinator | 105 W Griggs Ave, Las Cruces, NM 88001-1235 | 2020-05-26 |
| 1982237194 | Patricia Ulloa | Case Manager/Care Coordinator | 105 W Griggs Ave, Las Cruces, NM 88001-1235 | 2020-02-16 |
| 1699307215 | Michelle Edith Rivera | Licensed Practical Nurse | 105 W Griggs Ave, Las Cruces, NM 88001-1235 | 2020-02-11 |
| 1992337745 | Otis Henderson | Case Manager/Care Coordinator | 105 W Griggs Ave, Las Cruces, NM 88001-1235 | 2020-02-10 |
| 1922630755 | Katana Wolf | Peer Specialist | 105 W Griggs Ave, Las Cruces, NM 88001-1235 | 2020-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| Find all providers in zip 88001 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093292542 | Sergio Galvan | Counselor | Alt Recovery Group, 1141 Mall Drive Suite E, Las Cruces, NM 88011 | 2018-07-26 |
| 1487164810 | Project Fernando, LLC | Counselor | 1100 S Main St Ste 6, Las Cruces, NM 88005-2917 | 2017-10-12 |
| 1871033167 | Innovative Recovery Services LLC | Counselor | 2051 Mars Ave, Apt D5, Las Cruces, NM 88012-7712 | 2017-03-06 |
| 1316492564 | Innovative Recovery of New Mexico | Counselor | 880 S Telshor Blvd Ste 110, Las Cruces, NM 88011-8682 | 2016-08-17 |
| 1477924447 | Amanda Kay Wiles | Counselor | 3391 Apple Cross Pl, Las Cruces, NM 88005-3714 | 2015-10-15 |
| 1184925992 | Maggie M. Segovia-osollo | Counselor | 1190 Foster, Las Cruces, NM 88001 | 2010-11-10 |
| 1063713998 | Novella G. Hernandez | Counselor | 1190 Foster Rd, Las Cruces, NM 88001-3775 | 2010-11-09 |
| 1871816629 | Gilbert Morales Jr. | Counselor | 251 N Roadrunner Pkwy Apt 2404, Las Cruces, NM 88011-7040 | 2010-03-09 |
| 1053540039 | Janis A Thompson | Counselor | 5243 Cochise Trl, Las Cruces, NM 88012-9737 | 2009-07-10 |
| 1801051867 | Lee King | Counselor | 1051 N Solano Dr, Las Cruces, NM 88001-2348 | 2008-07-18 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88001 |
Please comment or provide details below to improve the information on ROBERT E MAITLAND.
| 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.