State of New Mexico
NPI 1124211404ActiveOrganization· Psychologist, Psychoanalysis· Las Vegas, NM
Psychologist, Psychoanalysis in Las Vegas, New Mexico, registered in NPPES in August 2007. The authorized official on file is Steve Martinez, Interim Administrator.
Overview
| NPI | 1124211404 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 21, 2007 |
| Last updated in NPPES | Aug 21, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Psychoanalysis Primary | 103TP0814X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|