ALBUQUERQUE NEUROPSYCHOLOGY LLC (NPI# 1447895651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447895651 |
| Entity Type | Organization |
| Organization Name | ALBUQUERQUE NEUROPSYCHOLOGY LLC |
| Practice Address |
4001 Indian School Rd Ne Ste 310 Albuquerque NM 87110-3832 |
| Mailing Address |
3212 Vista Del Sur St Nw Albuquerque NM 87120-1512 |
| Practice Telephone | 5054049395 |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |
| Authorized Official Name | STEPHANIE GORMAN (NEUROPSYCHOLOGIST) |
| Authorized Official Telephone | 5054507804 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
4001 INDIAN SCHOOL RD NE STE 310 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-3832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811977325 | John King | Clinical Neuropsychologist | 4001 Indian School Rd Ne Ste 310, Albuquerque, NM 87110-3832 | 2006-01-19 |
| 1730534587 | Summer Rolin | Clinical Neuropsychologist | 4001 Indian School Rd Ne Ste 310, Albuquerque, NM 87110-3832 | 2016-04-29 |
| 1326115049 | Neuropsychological Services of New Mexico, LLC | Clinical Neuropsychologist | 4001 Indian School Rd Ne Ste 310, Albuquerque, NM 87110-3832 | 2006-11-29 |
| 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 | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215557194 | Firststeps Autism Evaluations LLC | Clinic/Center | 1601 Ridgecrest Dr Se, Albuquerque, NM 87108-4436 | 2020-04-21 |
| 1205472578 | Jennifer S Schneider LLC | Clinic/Center | 7007 Wyoming Blvd Ne Ste F1, Albuquerque, NM 87109-3983 | 2019-11-21 |
| 1023574431 | Trauma Recovery Services, LLC | Clinic/Center | 6121 Indian School Rd Ne Ste 235, Albuquerque, NM 87110-4172 | 2019-02-11 |
| 1386138451 | Inner Peak Youth Counseling, LLC | Clinic/Center | 11000 Candelaria Rd Ne, Albuquerque, NM 87112-1751 | 2018-06-21 |
| 1063929826 | A New Leaf Counseling Services, LLC | Clinic/Center | 5005 4th St Nw Ste 201, Albuquerque, NM 87107-3916 | 2018-01-02 |
| 1356733158 | Southwest Pueblo Consultants and Counseling Services, LLC | Clinic/Center | 5020 San Pedro Ct Ne, Albuquerque, NM 87109-2515 | 2015-03-03 |
| 1194120162 | Audra Carrie May | Clinic/Center | 5301 Sequoia N.w., Albuquerque, NM 87120 | 2014-11-03 |
| 1407311749 | Well Play-play Therapy | Clinic/Center | 8102 Menaul Blvd Ne Ste A, Albuquerque, NM 87110-4725 | 2019-01-31 |
| 1376086744 | Child Psychological Services of New Mexico, LLC | Clinic/Center | 2811 Indian School Rd Ne, Albuquerque, NM 87106-1825 | 2016-12-02 |
| 1619213055 | Childrens Psychiatric Center Outpatient Services | Clinic/Center | 2600 Marble Ave Ne Bldg 2, Albuquerque, NM 87106-2058 | 2012-12-12 |
| 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.