AMY SUSAN DEBERNARDI


Address: 22 St. Anthony Drive, Zuni, NM 87327
Phone: 5057825870

AMY SUSAN DEBERNARDI (NPI# 1336388198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336388198
Entity Type Individual
Full Name AMY SUSAN DEBERNARDI
Credential PSY.D.
Practice Address 22 St. Anthony Drive
Zuni
NM 87327
Mailing Address 640 Hermit Falls Dr Se
Rio Rancho
NM 87124-7285
Practice Telephone 5057825870
Mailing Telephone 5056702313
Enumeration Date 2009-02-18
Last Update Date 2009-02-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 755 NM Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 000N4239 05

Office Location

Street Address 22 ST. ANTHONY DRIVE
City ZUNI
State NM
Zip Code 87327

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457961088 Jesus Carlos Hinojosa Pharmacist 21 Rte 301 S, Zuni, NM 87327 2020-08-07
1336762962 June Miki Morikawa Optometrist Rte 301 N 21b Ave, Zuni, NM 87327 2020-05-18
1629486170 John David Walker Dentist 301 North B Street, Zuni, NM 87327 2014-07-29
1972921005 Andrew Jensen Family Medicine 12 B Ave, Zuni, NM 87327 2014-04-05
1063854263 Jocelyne Klasen Counselor 02 Twin Buttes, Zuni, NM 87327 2013-07-29
1184918906 Peter Summerfelt Dentist 301 N. B St., Zuni, NM 87327 2011-06-09
1528352200 Natalia Mendoza Family Medicine Route 301 North B Avenue, Zuni Comprehensive Community Health Center, Zuni, NM 87327 2011-05-31
1871812503 Amanda Stentiford Physical Therapist Route 301 North21 B Avenue, Zuni, NM 87327 2010-05-20
1578889044 Jason Kurland Family Medicine Route 301 North 21 B Avenue, Zuni, NM 87327 2010-04-08
1558699272 Juana L Chavez Home Health Aide 47 Chavez Circle, Zuni, NM 87327 2009-11-19
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063411197 Frank Bono Psychologist Route 301 North B Street, Zuni, NM 87327-0467 2005-07-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366042814 Barbara Gormley Psychologist 501 N Roadrunner Pkwy Apt 1901, Las Cruces, NM 88011-2023 2020-10-26
1124637541 Behavioral Medicine and Assessment of New Mexico LLC Psychologist 3520 Calle Cuervo Nw, Albuquerque, NM 87114-9220 2020-07-31
1932732351 Leslie Ann Becerra Psychologist 110 Sheep Springs Ways, Jemez Pueblo, NM 87024-0279 2020-02-13
1891341996 Chelsea Spraberry Psychologist 2600 College Blvd, 2nd Floor, Rio Rancho, NM 87144 2019-08-14
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
1942777982 Nesha Morse Psyd Inc Psychologist 1010 Marquez Pl Ste D2, Santa Fe, NM 87505-1724 2018-10-29
1003341975 Corey J Vas Psychologist 741 N Alameda Blvd Ste 6, Las Cruces, NM 88005-2172 2017-04-27
1194190181 Hugh J. Hammant Psychologist 1307 Arnold Palmer Ct, Las Cruces, NM 88011-3902 2015-12-02
1255703401 Stacey Goldstein-dwyer Psychologist 661 Quantum Rd Ne Ste 8, Rio Rancho, NM 87124-4505 2015-10-28
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Competitor

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City ZUNI
Zip Code 87327

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Dataset Information

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.

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