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NPI Code Detail

MEDICARE: THE PROFESSIONAL ASSESSMENT CENTER

MEDICARE: THE PROFESSIONAL ASSESSMENT CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881812352
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE PROFESSIONAL ASSESSMENT CENTER
Provider Business Mailing Address
First Line : 1100 S MAIN ST
Second Line : BLDG B STE 20
City : LAS CRUCES
State : NM
Zip : 88005-2917
Country : US
Telephone Number : 505-525-5635
Fax Number : 505-647-8804
Provider Business Practice Location Address
First Line : 1100 S MAIN ST
Second Line : BLDG B STE 20
City : LAS CRUCES
State : NM
Zip : 88005-2917
Country : US
Telephone Number : 505-525-5635
Fax Number : 505-647-8804
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : MR. RUBEN ISRAEL AGUILAR
Credential :
Telephone Number : 915-307-1535
Provider Enumeration Date : 04/23/2007
Last Update Date : 08/22/2020

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1225045347 — DR. NORBERT WILLIAM GASKINS PH.D. LPCC
Practice Location Address:
1100 S MAIN ST STE 20
LAS CRUCES, NM
88005-2917
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Practice Fax: 505-647-8804
1649498650 — CHRISTOPHER MONTEZ
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1100 S MAIN ST , BLDG B STE 20
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1780802769 — ELIZABETH DURAN
Practice Location Address:
1100 S MAIN ST , BLDG B STE 20
LAS CRUCES, NM
88005-2917
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Practice Fax: 505-647-8804
1427276443 — JAIME SEGOVIA
Practice Location Address:
1100 S MAIN ST , SUITE 20
LAS CRUCES, NM
88005-2917
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Practice Fax: 505-647-8804
1114147923 — MARIO SOLIS
Practice Location Address:
1100 S MAIN ST , BLDG B STE 20
LAS CRUCES, NM
88005-2917
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1720296304 — MRS. MONIQUE ELAINE APODACA-ARMENDARIZ
Practice Location Address:
1100 S MAIN ST , SUITE 20
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Practice Fax:

Directions to “THE PROFESSIONAL ASSESSMENT CENTER ” Practice Location

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