OrganizationActive
Pediatric Behavioral Medicine, Inc
NPI 1538425541 · Child & Adolescent Psychiatry Physician · Las Cruces, NM
Provider details
- NPI number
- 1538425541
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Martin, President(575) 805-0849
- License
- MD2008-0370 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2407 W Picacho Ave
A104
Las Cruces, NM 88007-4124
Phone: (575) 805-0849
Fax: (575) 541-3617
Approximate (ZIP-level) locationGet directions
Mailing address
2407 W Picacho Ave
Las Cruces, NM 88007-4124
Registry dates
- Enumerated
- 2012-04-03
- Last updated
- 2013-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.