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State of New Mexico — NPI 1124211404, Las Vegas, NM | NPI Central

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NPI 1124211404

OrganizationActive

State of New Mexico

NPI 1124211404 · Psychoanalysis Psychologist · Las Vegas, NM

Provider details

NPI number: 1124211404
Entity type: Organization
Primary specialty: Psychoanalysis PsychologistBehavioral Health & Social Service Providers
Organization subpart: No
Authorized official: Steve Martinez, Interim Administrator(505) 454-2203

Specialties & taxonomies

Psychoanalysis PsychologistPrimary103TP0814X
Behavioral Health & Social Service Providers
Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers

Practice location

3695 Hot Springs Blvd

Las Vegas, NM 87701-9549

Phone: (505) 454-2100

Approximate (ZIP-level) locationGet directions

More NM providers

Mailing address

3695 Hot Springs Blvd

Las Vegas, NM 87701-9549

Other names (DBA / former)

Doing business as: New Mexico Behavioral Health Institute @ Las Vegas

Registry dates

Enumerated: 2007-08-21
Last updated: 2007-08-21

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.