EXCLUSIVE PSYCHIATRIC CARE LLC (NPI# 1609267103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609267103 |
| Entity Type | Organization |
| Organization Name | EXCLUSIVE PSYCHIATRIC CARE LLC |
| Practice Address |
1161 Mall Dr Ste C Las Cruces NM 88011-8193 |
| Practice Telephone | 5755222330 |
| Practice Fax Number | 5755222344 |
| Mailing Telephone | 5755222330 |
| Mailing Fax Number | 5755222344 |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |
| Authorized Official Name | SELENE MENDOZA (OWNER) |
| Authorized Official Telephone | 5755222330 |
| Authorized Official Credential | CNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1161 MALL DR STE C |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-8193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366659161 | Selene Mendoza | Registered Nurse | 1161 Mall Dr, Ste. C, Las Cruces, NM 88011-8193 | 2007-05-17 |
| 1235413923 | James Phillip Salazar | Nurse Practitioner | 1161 Mall Dr, Suite C, Las Cruces, NM 88011-8193 | 2011-09-29 |
| 1033430533 | Exclusive Psychiatric Care | Counselor | 1161 Mall Dr, Suite C, Las Cruces, NM 88011-8193 | 2010-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588172290 | Cecilia Isolina Kasbohm | Nurse Practitioner | 999 W Amador Ave Ste A, Las Cruces, NM 88005-2739 | 2018-01-16 |
| 1831544618 | Clarion Telehealth Network, LLC | Nurse Practitioner | 4611 Research Park Cir Ste B227, Las Cruces, NM 88001-5948 | 2016-04-28 |
| 1639411051 | Lilian Agnete Klinger | Nurse Practitioner | 6932 Barcelona Ridge Rd, Las Cruces, NM 88007-8958 | 2013-03-24 |
| 1134459449 | Shelly Rae Noe | Nurse Practitioner | 1170 N Solano Dr Ste N, Las Cruces, NM 88001-2371 | 2010-01-08 |
| 1689868614 | Karen Marie Fee | Nurse Practitioner | 2144 Sagecrest Ave, Las Cruces, NM 88011-8045 | 2007-09-03 |
| 1396942074 | Jacquelyn Counts Williams | Nurse Practitioner | 3521 Del Rey Blvd Ste B, Las Cruces, NM 88012-7708 | 2007-06-27 |
| 1972714418 | Leslie Kaye Robbins | Nurse Practitioner | 3317 Solarridge St, Las Cruces, NM 88012-7797 | 2007-05-25 |
| 1316572373 | Ariel Hutton Madrid | Nurse Practitioner | 3751 Del Rey Blvd, Las Cruces, NM 88012-7710 | 2020-03-10 |
| 1063050151 | Deanna Joy Fresquez Mynatt | Nurse Practitioner | 1401 S Don Roser Dr, Las Cruces, NM 88011-4567 | 2019-12-19 |
| 1144767104 | Laura Smith | Nurse Practitioner | 250 S Main St, Las Cruces, NM 88001-1278 | 2017-01-27 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
Please comment or provide details below to improve the information on EXCLUSIVE PSYCHIATRIC CARE LLC.
| 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.