DR. ALISON DELUCA (NPI# 1457507022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457507022 |
| Entity Type | Individual |
| Full Name | DR. ALISON DELUCA |
| Credential | M.D. |
| Practice Address |
1100 W. 21st Clovis NM 88101 |
| Practice Telephone | 5757692345 |
| Practice Fax Number | 5757699013 |
| Mailing Telephone | 5757692345 |
| Mailing Fax Number | 5757699013 |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2015-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25MA08248000 | NJ | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD2012-0890 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0215287 | 05 |
| Street Address |
1100 W. 21ST |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790850923 | Clarke A. Brunton Jr. | Psychiatry & Neurology | 1100 W. 21st, Clovis, NM 88101 | 2006-11-22 |
| 1144762899 | Lisa K Agan | Case Manager/Care Coordinator | 1100 W. 21st, Clovis, NM 88101 | 2016-11-11 |
| 1518379874 | Gina Stewart | Counselor | 1100 W. 21st, Clovis, NM 88101 | 2014-05-21 |
| 1033403878 | David A Mcvey | Counselor | 1100 W. 21st, Clovis, NM 88101 | 2011-06-08 |
| 1891009817 | Brenda Richardson | Counselor | 1100 W. 21st, Clovis, NM 88101 | 2010-08-02 |
| 1023254091 | Shasta Skyler Rael | Counselor | 1100 W. 21st, Clovis, NM 88101 | 2008-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318747 | B2 Healthcare Group LLC | Psychiatry & Neurology | 8206 Louisiana Blvd Ne Ste A, Albuquerque, NM 87113-1738 | 2020-05-27 |
| 1649663535 | Gabriela Sanchez | Psychiatry & Neurology | Presbyterian Kaseman Hospital, 8300 Constitution Avenue Ne, Albuquerque, NM 87110 | 2015-03-17 |
| 1033401831 | Gabriel Carlos-william Monthan | Psychiatry & Neurology | 241 Laguayra Dr Ne, Albuquerque, NM 87108-1723 | 2011-05-11 |
| 1972746642 | Brian James Haigh | Psychiatry & Neurology | 195 East Rd Ste 104, Los Alamos, NM 87544-4301 | 2009-04-10 |
| 1851582886 | Michael Herman Anikeev | Psychiatry & Neurology | 3901 Indian School Rd Ne Apt D102, Albuquerque, NM 87110-3852 | 2007-08-06 |
| 1568585305 | John R Evaldson | Psychiatry & Neurology | 1012 Marquez Place #401, Santa Fe, NM 87505 | 2007-04-09 |
| 1669529210 | Susan Danto | Psychiatry & Neurology | 7801 Academy Ne, Bldg. 1, Suite 202, Albuquerque, NM 87109 | 2007-01-05 |
| 1033271390 | Rosemary Hunter | Psychiatry & Neurology | 5310 Sequoia Rd Nw, Albuquerque, NM 87120-1249 | 2006-12-14 |
| 1013005925 | George Edwin Davis | Psychiatry & Neurology | 1002 Idlewilde Ln Se, Albuquerque, NM 87108-3446 | 2006-10-10 |
| 1700971207 | Catalina Perez-lacey | Psychiatry & Neurology | 7 Casa Del Oro Way, Santa Fe, NM 87508-8290 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ALISON DELUCA.
| 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.