CAROLE A. MAZUROWSKI, PHD, PA (NPI# 1528281896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528281896 |
| Entity Type | Organization |
| Organization Name | CAROLE A. MAZUROWSKI, PHD, PA |
| Practice Address |
6565 Americas Pkwy Ne Suite 200 Albuquerque NM 87110-8116 |
| Mailing Address |
Po Box 90815 Albuquerque NM 87199-0815 |
| Practice Telephone | 5056202848 |
| Practice Fax Number | 8665780586 |
| Mailing Telephone | 5056202848 |
| Mailing Fax Number | 8665780586 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2014-04-08 |
| Authorized Official Name | DR. CAROLE A. MAZUROWSKI (PRESIDENT) |
| Authorized Official Telephone | 5056202848 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
0881 | NM | Behavioral Health & Social Service Providers |
| Y | 103G00000X | Clinical Neuropsychologist | 0881 | NM | Behavioral Health & Social Service Providers |
| Street Address |
6565 AMERICAS PKWY NE SUITE 200 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-8116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477629723 | Carole A. Mazurowski | Clinical Neuropsychologist | 6565 Americas Pkwy Ne, Suite 200, Albuquerque, NM 87110-8116 | 2006-11-28 |
| 1558720086 | Krista Juerling | Day Training/Habilitation Specialist | 6565 Americas Pkwy Ne, Suite 200, Albuquerque, NM 87110-8116 | 2016-02-11 |
| 1679873038 | Mga Healthcare New Mexico, Inc. | Home Health | 6565 Americas Pkwy Ne, Suite 780, Albuquerque, NM 87110-8116 | 2010-11-01 |
| 1437358694 | Patrick Hill Arnold | Internal Medicine | 6565 Americas Pkwy Ne, Suite 200, Albuquerque, NM 87110-8116 | 2007-07-17 |
| 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 | 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 |
|---|---|---|---|---|
| 1326677220 | Owen James Gaasedelen | Clinical Neuropsychologist | 2527 Wyoming Blvd Ne Ste A, Albuquerque, NM 87112-1039 | 2020-04-03 |
| 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 |
| 1386970341 | Neurointensivists of New Mexico, LLC | Clinical Neuropsychologist | 2425 San Pedro Dr Ne, Suite J, Albuquerque, NM 87110-4077 | 2009-10-27 |
| 1851520068 | Krista Wild | Clinical Neuropsychologist | 1 University of New Mexico, Msc 09 5030, Center for Neuropsychological Svcs, Dept of Psychiatry, Albuquerque, NM 87131-0001 | 2009-07-09 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on CAROLE A. MAZUROWSKI, PHD, PA.
| 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.