Jeremy James Baldillez
Psychologist, School in Las Cruces, NM. Individual provider (NPI-1).
NPI number1003004359
StatusActive
Last updated in NPPESApr 21, 2017
Details
- NPI
- 1003004359
- Entity type
- Individual (NPI-1)
- Name
- Mr. Jeremy James Baldillez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 11, 2007
- Last updated
- Apr 21, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | 275299 | NM | Yes |
Practice location
3100 Oak StLas Cruces, NM 88005-3425
Phone 575-323-3354 · Fax 575-523-3354
Mailing address
505 S Main StSte 249
Las Cruces, NM 88001-1206
Phone 505-527-5823 · Fax 505-527-5886
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 60 School Psychologist providers in Las Cruces · All 6,914 providers in Las Cruces
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