Child Psychology Center

LBN: Child Psychology Center
Child Psychology Center is an health care organization with primary practice located at 3751 N Butler Ave Ste 115 , Farmington NM 87401-6425. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as the primary health care specialty. Child Psychology Center can be contacted via phone (662) 603-1035, or through Roth-Wall, Priscilla via phone (662) 603-1035.

Contact Information

Primary practice address
3751 N Butler Ave Ste 115 Farmington NM 87401-6425
Phone: (662) 603-1035
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roth-Wall, Priscilla PH.D.
Phone: (662) 603-1035

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X

Profile Details

NPI number 1528603743
LBN Legal business name Child Psychology Center
DBA Doing business as
Authorized official Roth-Wall, Priscilla PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2019
Last updated Nov 12th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528603743 NPPES
New Mexico MEDICAID 16970748

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