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Contact Information

PEDIATRIC BEHAVIORAL MEDICINE, INC
2407 W PICACHO AVE
A104
LAS CRUCES, NM88007-4124
 Phone: 575-805-0849
 Fax: 575-541-3617
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for PEDIATRIC BEHAVIORAL MEDICINE, INC

NPI Number 1538425541
LBN Legal business name PEDIATRIC BEHAVIORAL MEDICINE, INC
Authorized official JAMES MARTIN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2012
Last updated 02/26/2013 - About 13 years ago
Identifiers
NM License # MD2008-0370
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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