Primary Wellness Team Corporation
NPI 1417489378ActiveOrganization· Psychologist, Prescribing (Medical)· Santa Teresa, NM
Psychologist, Prescribing (Medical) in Santa Teresa, New Mexico, registered in NPPES in March 2017. The authorized official on file is Christian Lira, Manager.
Overview
| NPI | 1417489378 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 30, 2017 |
| Last updated in NPPES | Jun 30, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Prescribing (Medical) Primary | 103TP0016X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 |
|---|
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