SACRED SOUL PSYCHOLOGY INC (NPI# 1417564568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417564568 |
| Entity Type | Organization |
| Organization Name | SACRED SOUL PSYCHOLOGY INC |
| Practice Address |
4362 Village Loop Santa Fe NM 87507-1833 |
| Practice Telephone | 7073184470 |
| Practice Fax Number | 7076378313 |
| Mailing Telephone | 7073184470 |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |
| Authorized Official Name | DR. SUSAN JOAN RAHIMA SCHMALL (OWNER) |
| Authorized Official Telephone | 7073184470 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Street Address |
4362 VILLAGE LOOP |
| City | SANTA FE |
| State | NM |
| Zip Code | 87507-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316390 | Cynthia Lois Meyers | Pharmacy | 2709 Cerrillos Road, Santa Fe, NM 87507 | 2020-11-03 |
| 1578160685 | Nancy Benigsohn | Counselor | 4001 Office Courte., Suite 603, Santa Fe, NM 87507 | 2020-10-02 |
| 1730684853 | Presbyterian Healthcare Services | General Acute Care Hospital | 4801 Beckner Road, Santa Fe, NM 87507 | 2018-03-29 |
| 1033623780 | Averie Montgomery-diener | Physical Therapy Assistant | 2538 Camino Entrad Suite 300, Santa Fe, NM 87507 | 2017-11-16 |
| 1013426790 | Deja Nicole Mendez | Behavior Technician | 2213 Paseo De Tercero, Santa Fe, NM 87507 | 2017-09-25 |
| 1548787633 | Lauren Sherwood | Behavior Technician | 4129 S Meadows Rd, Apt #1023, Santa Fe, NM 87507 | 2017-08-29 |
| 1972032563 | Alyssa Butler | Counselor | 1409 Zepol Rd Apt 110, Santa Fe, NM 87507 | 2017-06-07 |
| 1093253221 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 4326 Airport Road, Unit F, Santa Fe, NM 87507 | 2017-02-08 |
| 1891233128 | Daniel & Max, LLC | Optometrist | 4079 Cerillos Road, Santa Fe, NM 87507 | 2017-02-07 |
| 1508225749 | Youth Shelters and Family Services | Counselor | 5686 B Agua Fria Street, Santa Fe, NM 87507 | 2016-02-16 |
| Find all providers in zip 87507 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154792919 | James M Nolan | Psychologist | 4719 Contenta Rdg, Santa Fe, NM 87507-6603 | 2015-10-19 |
| 1396977849 | Meryl Leiberman | Psychologist | 49 Camino Bajo, Santa Fe, NM 87508-8614 | 2009-08-18 |
| 1710126651 | Harmony for Life LLC | Psychologist | 522 S Saint Francis Dr, Santa Fe, NM 87501-3057 | 2009-02-17 |
| 1134302722 | Kelly Randolph Bennett | Psychologist | 578 Via Arista, Santa Fe, NM 87506-4507 | 2007-12-06 |
| 1346417490 | Dana Michelle Udall-weiner | Psychologist | 1301 Luisa St, Suite E, Santa Fe, NM 87505-7001 | 2008-05-08 |
| 1003830415 | Kathleen O'malley Reyntjens | Psychologist | 110 Delgado St, Suite A, Santa Fe, NM 87501-2781 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366056 | Katherine Imislund-clark, Lpcc | Psychologist | 122 Girard Blvd Se Apt B, Albuquerque, NM 87106-2286 | 2020-11-02 |
| 1952901647 | Debra Ann Carter Lpcc LLC | Psychologist | 3321b Candelaria Rd Ne Ste 402, Albuquerque, NM 87107-1908 | 2020-10-30 |
| 1831710490 | Zia Community Cares, LLC | Psychologist | 5400 Gibson Blvd, Building 11, Albuquerque, NM 87108-8710 | 2020-05-05 |
| 1962974600 | Jeffrey Alan Franken | Psychologist | 9 Calle Ponderosa, Placitas, NM 87043-9328 | 2018-12-19 |
| 1629558838 | Ocotillo Psychological Services LLC | Psychologist | 2801 Missouri Ave Ste 36, Las Cruces, NM 88011-9151 | 2018-08-16 |
| 1770087520 | Catherine Hammitt | Psychologist | 701 Los Lentes Rd Ne, Los Lunas, NM 87031-7362 | 2018-03-19 |
| 1629585534 | Tracie Hitter | Psychologist | 1830 Myrtle Ave, Las Cruces, NM 88001-5245 | 2018-01-02 |
| 1528450061 | Giving Tree Counseling, LLC | Psychologist | 8901 San Diego Ave Ne, Albuquerque, NM 87122-3636 | 2015-02-20 |
| 1417394628 | Eve M Adams | Psychologist | 1220 Stewart St, O'donnell Hall, Rm 205, Las Cruces, NM 88003 | 2013-05-29 |
| 1013296219 | Amy Sholler Dreier | Psychologist | 208 D.l. Ingram Ave, Cannon Mental Health Clinic, Cannon Afb, NM 88103-5014 | 2011-08-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SACRED SOUL PSYCHOLOGY INC.
| 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.