NORTHERN NEW MEXICO NEUROPSYCHOLOGY LLC (NPI# 1487910402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487910402 |
| Entity Type | Organization |
| Organization Name | NORTHERN NEW MEXICO NEUROPSYCHOLOGY LLC |
| Practice Address |
1911 5th St Ste 211 Santa Fe NM 87505-5403 |
| Practice Telephone | 5054909049 |
| Mailing Telephone | 5054909049 |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2016-08-11 |
| Authorized Official Name | LAUREN PARKS (DIRECTOR) |
| Authorized Official Telephone | 5054909049 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
1183 | NM | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | 1183 | NM | Behavioral Health & Social Service Providers |
| Street Address |
1911 5TH ST STE 211 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-5403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790958494 | Raymond Singer, Ph.d., P.a. | Clinical Neuropsychologist | 36 Alondra Rd, Santa Fe, NM 87508-8316 | 2008-04-02 |
| 1447426119 | Raymond M Singer | Clinical Neuropsychologist | 36 Alondra Rd, Santa Fe, NM 87508-8316 | 2008-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326677220 | Owen James Gaasedelen | Clinical Neuropsychologist | 2527 Wyoming Blvd Ne Ste A, Albuquerque, NM 87112-1039 | 2020-04-03 |
| 1720521859 | Inetmed Rx2 Inc. | Clinical Neuropsychologist | 3655 Research Drive, Building A, Las Cruces, NM 88003-1239 | 2016-11-21 |
| 1326446881 | Lynette M Abrams-silva | Clinical Neuropsychologist | 320 Gold Avenue Sw, Suite 1001, Albuquerque, NM 87102 | 2014-12-16 |
| 1437550415 | Robert Brock Frost | Clinical Neuropsychologist | 3400 Constitution Ave Ne, Suite C, Albuquerque, NM 87106-1242 | 2014-09-10 |
| 1205237344 | Eric H. Zimak | Clinical Neuropsychologist | Center for Neuropsychological Services, Msc 09 5030, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2014-09-09 |
| 1861824898 | Sandia Neuropsychology LLC | Clinical Neuropsychologist | 3400 Constitution Ne, Albuquerque, NM 87106 | 2013-08-01 |
| 1881033231 | Clinical, Forensic Neruopsychologist Associates of New Mexico | Clinical Neuropsychologist | 3228 Los Arboles Ave Ne, Bldg. 1-230, Albuquerque, NM 87107-1962 | 2013-06-19 |
| 1639433527 | Stephanie Ann Gorman | Clinical Neuropsychologist | Center for Neuropsychological, Msc09 5030-1 Unm, Albuquerque, NM 87131-0001 | 2012-06-26 |
| 1508142019 | Sharon Janice Kernen | Clinical Neuropsychologist | 9001 Galaxia Way Ne, Albuquerque, NM 87111-1440 | 2011-10-27 |
| 1780916130 | High Plains Neuropsychology Associates PC | Clinical Neuropsychologist | 1101 Douglas Ave, Las Vegas, NM 87701-3932 | 2010-02-10 |
| Find all providers with the same taxonomy | ||||
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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.