DR. LOUIS WYNNE (NPI# 1104908334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104908334 |
| Entity Type | Individual |
| Full Name | DR. LOUIS WYNNE |
| Credential | PH.D. |
| Practice Address |
1420 Carlisle Blvd Ne #109 Albuquerque NM 87110-5660 |
| Practice Telephone | 5052804400 |
| Practice Fax Number | 5058974977 |
| Mailing Telephone | 5052804400 |
| Mailing Fax Number | 5058974977 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 140 | NM | Behavioral Health & Social Service Providers |
| Street Address |
1420 CARLISLE BLVD NE #109 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-5660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598258576 | Open Hearts, Open Minds Counseling Center, LLC | Counselor | 1420 Carlisle Blvd Ne, Albuquerque, NM 87110-5660 | 2018-06-13 |
| 1659899987 | Kayla Lachance | Behavior Technician | 1420 Carlisle Blvd Ne, Albuquerque, NM 87110-5660 | 2017-09-07 |
| 1689118721 | Tuscanooga Keith | Behavior Technician | 1420 Carlisle Blvd Ne, 100, Albuquerque, NM 87110-5660 | 2016-12-08 |
| 1699219741 | Roxann Fajardo | Behavior Technician | 1420 Carlisle Blvd Ne, 100, Albuquerque, NM 87110-5660 | 2016-12-08 |
| 1275077315 | Andrew Martinez | Behavior Technician | 1420 Carlisle Blvd Ne, 100, Albuquerque, NM 87110-5660 | 2016-12-08 |
| 1396289435 | Christina Cordova | Behavior Technician | 1420 Carlisle Blvd Ne, 100, Albuquerque, NM 87110-5660 | 2016-12-08 |
| 1184168213 | Richard Mclellan | Behavior Technician | 1420 Carlisle Blvd Ne, 100, Albuquerque, NM 87110-5660 | 2016-12-08 |
| 1568906600 | Stephanie Borunda | Behavior Technician | 1420 Carlisle Blvd Ne, 100, Albuquerque, NM 87110-5660 | 2016-12-08 |
| 1982148029 | Lisa Stevens | Behavior Technician | 1420 Carlisle Blvd Ne, 100, Albuquerque, NM 87110-5660 | 2016-12-08 |
| 1891242053 | Leticia Monreal | Behavioral Analyst | 1420 Carlisle Blvd Ne, 100, Albuquerque, NM 87110-5660 | 2016-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124637541 | Behavioral Medicine and Assessment of New Mexico LLC | Psychologist | 3520 Calle Cuervo Nw, Albuquerque, NM 87114-9220 | 2020-07-31 |
| 1194287649 | Jennifer Nicole Crawford | Psychologist | Msc09 5030 1 Unm, Albuquerque, NM 87131 | 2019-04-03 |
| 1417425083 | Meredith Lynn Faith | Psychologist | 11109 Elvin Ave Ne, Albuquerque, NM 87112-3231 | 2018-11-12 |
| 1942695903 | Md24 Nm, Inc. | Psychologist | 6565 Americas Parkway Ne #200, Albuquerque, NM 87110 | 2015-04-06 |
| 1932507365 | Reflections Psychological Services, LLC | Psychologist | 3939 San Pedro Dr Ne Bldg C8, Albuquerque, NM 87110-8901 | 2014-12-17 |
| 1457772147 | Candyce Tart | Psychologist | 607 Richmond Dr Ne, Albuquerque, NM 87106-2148 | 2013-12-23 |
| 1043640493 | Kristin Lichtle | Psychologist | 906 Franciscan St Ne, Albuquerque, NM 87102-2416 | 2013-11-22 |
| 1104160910 | Mike Kim | Psychologist | 2900 Louisiana Boulevard Northeast, Suite C1, Albuquerque, NM 87110 | 2012-11-16 |
| 1134473762 | Joseph R Flippo | Psychologist | 2104 Rex Ct Ne, Albuquerque, NM 87112-3661 | 2012-11-05 |
| 1659638195 | Elizabeth Ann-claire Sullivan | Psychologist | 4701 Morris St Ne Apt 601, Albuquerque, NM 87111-7715 | 2012-04-23 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.