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REEF MEDICAL CLINIC
NPI 1417489378
Psychologist - Prescribing (Medical) in Santa Teresa, NM

Active since March 30, 2017
5805 MCNUTT RD, STE D, SANTA TERESA, NM 88008(575) 265-1717 Get Directions Write a Review

NPPES record last updated: June 30, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2017, Mar 30, 2017 (2 updates tracked since 2017).

About Reef Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REEF MEDICAL CLINIC (NPI 1417489378) is a healthcare organization registered as a prescribing (medical) in Santa Teresa, New Mexico and active in the NPI registry since March 2017. The organization lists Christian Lira, Manager, as its authorized official.

NPPES Registry Identity

NPI1417489378
Entity TypeOrganization
Primary Taxonomy103TP0016X
Legal Business NamePRIMARY WELLNESS TEAM CORPORATION
Location Address5805 MCNUTT RD, STE DSanta Teresa, NM 88008-8001
Mailing Address205 W Boutz Rd, Bldg 1Las Cruces, NM 88005-3262 · (575) 532-7000
Phone(575) 265-1717
Organization SubpartNo
Authorized OfficialChristian LiraManager · (915) 202-3232
Enumeration DateMarch 30, 2017
Last NPPES UpdateJune 30, 20172 updates tracked since enumeration
✔ NPI 1417489378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
Definition
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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
5805 MCNUTT RD, Santa Teresa, NM 88008
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Other Names 1

Doing Business AsReef Medical Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREEN MINDS MATTER LLC
Nurse Practitioner (Psychiatric/Mental Health)
5805 MCNUTT RD
SANTA TERESA, NM 88008
Doña Ana County (469) 569-8665
DIANA PAOLA LICON
Community Health Worker
5805 MCNUTT RD
SANTA TERESA, NM 88008
Doña Ana County (575) 332-4007
SOUTHWEST PSYCHIATRY PLLC
Nurse Practitioner (Psychiatric/Mental Health)
5805 MCNUTT RD
SANTA TERESA, NM 88008
Doña Ana County (915) 244-4966
STF DENTAL
Clinic/Center (Dental)
5805 MCNUTT RD
SANTA TERESA, NM 88008
Doña Ana County (213) 200-5023

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Primary Wellness Team Corporation's NPI number?

The NPI number for Primary Wellness Team Corporation is 1417489378. It was assigned to this organization in the NPPES registry on March 30, 2017. The provider is doing business as Reef Medical Clinic.

Where is Primary Wellness Team Corporation located?

Primary Wellness Team Corporation is located at 5805 Mcnutt Rd Ste D, Santa Teresa, NM 88008. The listed phone number is (575) 265-1717.

What is Primary Wellness Team Corporation's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

When was this NPI record last updated?

The NPPES record for Primary Wellness Team Corporation was last updated on June 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.