DR. DEBORAH LESLIE KOS (NPI# 1477585990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477585990 |
| Entity Type | Individual |
| Full Name | DR. DEBORAH LESLIE KOS |
| Credential | PSY.D. |
| Practice Address |
4810 Hardware Dr Ne Albuquerque NM 87109-2013 |
| Mailing Address |
14400 Soula Dr Ne Albuquerque NM 87123-1947 |
| Practice Telephone | 5052734610 |
| Practice Fax Number | 5052554717 |
| Mailing Telephone | (505) 414-3939 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
0042C | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | PSYCHOLOGY LICENSE | 1149 | 01 |
| NM | 13870068 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14400 Soula Dr Ne, Albuquerque, NM 871231947 | 5054143939 | |
| 7850 Jefferson St Ne Ste 300, Albuquerque, NM 871094314 | 5058841114 |
| Street Address |
4810 HARDWARE DR NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-2013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013994961 | Lori Willinghurst | Psychiatry & Neurology | 4810 Hardware Dr Ne, Suite 5, Albuquerque, NM 87109-2013 | 2005-12-30 |
| 1952869596 | Claire Wilcox Md LLC | Psychiatry & Neurology | 4810 Hardware Dr Ne, Albuquerque, NM 87109-2013 | 2019-03-02 |
| 1962949941 | Robin Blackwell,lcsw, LLC | Social Worker | 4810 Hardware Dr Ne, Albuquerque, NM 87109-2013 | 2017-01-27 |
| 1831529411 | Lori A. Willinghurst, Md, LLC | Clinic/Center | 4810 Hardware Dr Ne, Suite #5, Albuquerque, NM 87109-2013 | 2013-11-19 |
| 1154647717 | Isabel Del Socorro Ross | Psychiatry & Neurology | 4810 Hardware Dr Ne, Suite 3, Albuquerque, NM 87109-2013 | 2010-04-07 |
| 1841418019 | Southwest Psychotherapy, Inc | Community/Behavioral Health | 4810 Hardware Dr Ne, Suite 5, Albuquerque, NM 87109 | 2007-04-23 |
| 1700957958 | Robin L Blackwell | Social Worker | 4810 Hardware Dr Ne, Albuquerque, NM 87109 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 103TP0016X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Prescribing (Medical) |
| Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
| Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003218553 | Integrated Healthcare of New Mexico | Psychologist | 7632 William Moyers Ave Ne, Albuquerque, NM 87122-2765 | 2014-09-16 |
| 1245856913 | Paul King-miller Psyd Lpcc LLC | Psychologist | 11216 Brentwood Hills Blvd Ne, Albuquerque, NM 87112-3219 | 2020-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417489378 | Primary Wellness Team Corporation | Psychologist | 5805 Mcnutt Rd, Ste D, Santa Teresa, NM 88008-8001 | 2017-03-30 |
| 1154877371 | J. Michael Mash Prescribing Psychologist LLC | Psychologist | 4155 State Road 68, Unit 6, Rancho De Taos, NM 87557 | 2016-08-28 |
| 1124466446 | Shekinah Foundation | Psychologist | 3001 S Wyoming Ave, Roswell, NM 88203-2326 | 2013-06-08 |
| 1902197098 | S M Cobb | Psychologist | 400 N Pennsylvania Ave Ste 990, Roswell, NM 88201-4754 | 2011-04-25 |
| 1730203860 | Pattijo N Velasquez | Psychologist | 1505 S Don Roser Dr, Ste. A, Las Cruces, NM 88011-4596 | 2007-03-16 |
| 1285232397 | Dr Tony J Kreuch LLC | Psychologist | 2204 Brothers Rd Ste B, Santa Fe, NM 87505-6975 | 2020-10-12 |
| 1548677669 | Winds of Change Mental Health Services, LLC | Psychologist | 108 E High St, Grants, NM 87020-2453 | 2014-07-21 |
| 1982024105 | Drw Behavioral Health Services, LLC | Psychologist | 1395 Missouri Ave, Las Cruces, NM 88001-5327 | 2014-04-27 |
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on DR. DEBORAH LESLIE KOS.
| 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.