JOHN C COURTNEY, Psy.D., M.P. — NPI 1023179538 (Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Prescribing (Medical) in SOCORRO, NM)

CMS-1500 Box 24J / 33a • NPI

1023179538

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103TP0016X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Prescribing (Medical)

Box 32 Service Location & ZIP+4

1200 HIGHWAY 60, SOCORRO, NM, 87801-3914

✓ 9-Digit EDI 837 ZIP+4 (87801-3914)

Practice Phone & Referral Fax

(575) 835-2444

Fax: (575) 838-0150

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1023179538 (JOHN C COURTNEY, Psy.D., M.P.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1023179538` (NPI-1 Individual Practitioner)
Provider / Legal Name	JOHN C COURTNEY, Psy.D., M.P.
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Prescribing (Medical) NUCC Code: `103TP0016X` (Psychologist, Prescribing (Medical))
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1200 HIGHWAY 60, SOCORRO, NM, 87801-3914
Practice Telephone / Fax	Tel: (575) 835-2444 \| Fax: (575) 838-0150
Administrative Mailing Address	PO BOX 2267, SANTA FE, NM, 87504-2267
Enumeration & Last Sync	Enumerated: 2006-12-12 \| CMS Record Updated: 2015-06-09

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1200 HIGHWAY 60, SOCORRO, NM, 87801-3914

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Plain-English Taxonomy & CMS Crosswalk (103TP0016X)

What Does Taxonomy Code 103TP0016X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TP0016X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Prescribing (Medical)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Prescribing (Medical) for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JOHN C COURTNEY, Psy.D., M.P.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TP0016X` — Psychologist, Prescribing (Medical) Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Prescribing (Medical)	State: LA \| License: `MPAP000019` \| Primary: Secondary
`103G00000X` — Clinical Neuropsychologist Plain English: Licensed & Credentialed Clinical Neuropsychologist	State: NM \| License: `1232` \| Primary: Secondary
`103TP0016X` — Psychologist, Prescribing (Medical) Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Prescribing (Medical)	State: NM \| License: `0024` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JOHN C COURTNEY, Psy.D., M.P. (NPI #1023179538)