J. MICHAEL MASH PRESCRIBING PSYCHOLOGIST LLC
NPI 1154877371
Psychologist - Prescribing (Medical) in Rancho De Taos, NM
- Organization
- Psychologist
- Prescribing (Medical)
About J. MICHAEL MASH PRESCRIBING PSYCHOLOGIST LLC
This page provides the complete NPI Profile along with additional information for J. Michael Mash Prescribing Psychologist Llc, a provider established in Rancho De Taos, New Mexico operating as a Psychologist, focusing in prescribing (medical) . The healthcare provider is registered in the NPI registry with number 1154877371 assigned on August 2016. The practitioner's primary taxonomy code is 103TP0016X with license number 609 (NM). The provider is registered as an organization and their NPI record was last updated 10 years ago. J. Michael Mash Prescribing Psychologist Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is James Mash (Owner/ph.d.)
- NPI
- 1154877371 Verify this NPI
- Provider Name
- J. MICHAEL MASH PRESCRIBING PSYCHOLOGIST LLC
- Entity Type
- Organization
- Location Address
- 4155 STATE ROAD 68 UNIT 6 RANCHO DE TAOS, NM 87557
- Location Phone
- (575) 776-7432
- Mailing Address
- PO BOX 94508 ALBUQUERQUE, NM 87199
- Mailing Phone
- (505) 384-7352
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-28-2016
- Last Update Date
- 08-28-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Prescribing (Medical)
- Taxonomy Code
- 103TP0016X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 609
- License State
- NM
- Taxonomy Description
- A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154877371, enumerated as an "organization" on August 28, 2016.
The provider is located at 4155 STATE ROAD 68 UNIT 6 RANCHO DE TAOS, NM 87557 and the phone number is (575) 776-7432.
Psychologist with taxonomy code 103TP0016X and a focus in Prescribing (Medical).
