| Dr Diana Calderon, PHD | |
|
1801 Seventh Street, Las Vegas, NM 87701 | |
| (505) 454-9758 | |
| (505) 454-9755 |
| Full Name | Dr Diana Calderon |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 1801 Seventh Street, Las Vegas, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346378486 | NPI | - | NPPES |
| NM100157 | Other | NM | VALUE OPTIONS |
| N7805 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 583 (New Mexico) | Primary |
| Entity Name | Zia Community Cares, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831710490 PECOS PAC ID: 9830510288 Enrollment ID: O20200610003018 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Diana Calderon, PHD Po Box 1868, Las Vegas, NM 87701 Ph: (505) 454-9758 | Dr Diana Calderon, PHD 1801 Seventh Street, Las Vegas, NM 87701 Ph: (505) 454-9758 |
Wendy Price, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3695 Hot Springs Blvd, Las Vegas, NM 87701 Phone: 505-454-2100 | |
William Frank Merkle, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3695 Hot Springs Blvd, Las Vegas, NM 87701 Phone: 505-454-2457 | |
Ms. Michelle Ulibarri, PSY Psychologist Medicare: Not Enrolled in Medicare Practice Location: 179 Bridge St, Las Vegas, NM 87701 Phone: 505-426-2554 | |
Rudy Fidencio Grano, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 213 Plaza St, N/a, Las Vegas, NM 87701 Phone: 505-617-6313 Fax: 505-617-6313 | |
Dr. Linda T Kennedy, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 509 11th St, Suite A, Las Vegas, NM 87701 Phone: 505-425-3155 Fax: 505-425-3155 | |
Theresa Carvell, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3695 Hot Springs Blvd, Las Vegas, NM 87701 Phone: 505-454-2100 |