IndividualActive
Thomas De Vries, PH.D
NPI 1700200722 · Health Psychologist · Roswell, NM
Provider details
- NPI number
- 1700200722
- Entity type
- Individual
- Primary specialty
- Health PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0047C (NM)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
405 W Coutry Club Rd
Roswell, NM 88201-5209
Phone: (505) 273-0574
Street-level locationGet directions
Mailing address
706 N Pennsylvania Ave
Roswell, NM 88201
Registry dates
- Enumerated
- 2014-02-11
- Last updated
- 2022-10-21
- Certified
- 2022-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.