RIO GRANDE NEUROSCIENCE LLC (NPI# 1598142762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598142762 |
| Entity Type | Organization |
| Organization Name | RIO GRANDE NEUROSCIENCE LLC |
| Practice Address |
600 Central Ave Se Suite 221 Albuquerque NM 87102-3656 |
| Practice Telephone | 5053459288 |
| Practice Fax Number | 5052120359 |
| Mailing Telephone | 5053459288 |
| Mailing Fax Number | 5052120359 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-05-22 |
| Authorized Official Name | DR. JILL RYAN (OWNER) |
| Authorized Official Telephone | 5054120545 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1147 | NM | Behavioral Health & Social Service Providers |
| Street Address |
600 CENTRAL AVE SE SUITE 221 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-3656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922055185 | Leanne M Adell | Physical Therapist | 600 Central Ave Se, Suite D, Albuquerque, NM 87102-3656 | 2006-05-30 |
| 1104287473 | Benjamin Willow | Physical Therapist | 600 Central Ave Se, Suite D, Albuquerque, NM 87102-3656 | 2016-03-15 |
| 1174992689 | Nora J Quintal Calva | Physical Therapist | 600 Central Ave Se, Suite D, Albuquerque, NM 87102-3656 | 2015-09-15 |
| 1386022762 | Carol Watts | Social Worker | 600 Central Ave Se, Suite 221, Albuquerque, NM 87102-3656 | 2015-05-18 |
| 1164821310 | Crystal Laura Jane Montoya | Physical Therapist | 600 Central Ave Se, Suite D, Albuquerque, NM 87102-3656 | 2014-08-13 |
| 1730501883 | Anthony R Roddy | Physical Therapist | 600 Central Ave Se, Suite D, Albuquerque, NM 87102-3656 | 2014-01-08 |
| 1548436629 | Julia Ann Jordan | Physical Therapist | 600 Central Ave Se, Suite D, Albuquerque, NM 87102-3656 | 2008-05-07 |
| 1265620496 | Sandia Neuromonitoring LLC | Psychiatry & Neurology | 600 Central Ave Se, Suite 204, Albuquerque, NM 87102-3656 | 2007-10-12 |
| 1265520928 | Achievements,inc. | Day Training, Developmentally Disabled Services | 600 Central Ave Se, Suite F, Albuquerque, NM 87102-3656 | 2006-10-10 |
| 1164433082 | Patrick John Mcgowan | Physical Therapist | 600 Central Ave Se, Suite D, Albuquerque, NM 87102-3656 | 2006-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144844747 | Ellen Soisson | Psychologist | 11005 Spain Rd Ne Ste 8, Albuquerque, NM 87111-1871 | 2020-05-31 |
| 1124584313 | Mark Simpson Psyd Mac Ladc LLC | Psychologist | 2920 Carlisle Blvd Ne Ste G, Albuquerque, NM 87110-2867 | 2019-02-13 |
| 1548775414 | Julie Brovko | Psychologist | 215 Gold Ave Sw Ste 202, Albuquerque, NM 87102-3364 | 2017-12-13 |
| 1134633498 | Evan Espinosa | Psychologist | 933 Bradbury Dr. Se, Suite 2222, Albuquerque, NM 87106-4374 | 2017-11-24 |
| 1982113205 | Diana Bennett | Psychologist | 1501 San Pedro Dr Se # Mc116, Albuquerque, NM 87108-5153 | 2017-09-29 |
| 1518411297 | Emily Kathryn Andrews | Psychologist | 1001 Yale Boulevard Ne, Albuquerque, NM 87131-1830 | 2016-08-10 |
| 1982076402 | Sally Eden Moretti | Psychologist | 5920 Canyon Vista Dr Ne, Albuquerque, NM 87111-6621 | 2015-10-23 |
| 1881087526 | Aaron Joyce, Ph.d., LLC | Psychologist | 3532 Anderson Ave. Se, Albuquerque, NM 87106 | 2015-03-05 |
| 1073903506 | Samardzija Psychological Center | Psychologist | 12900 Sandia Point Rd Ne, Albuquerque, NM 87111-8198 | 2015-02-04 |
| 1679974943 | Sage Behavioral Health Center | Psychologist | 2929 Coors Blvd Nw Ste 100d, Albuquerque, NM 87120-1272 | 2014-09-05 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
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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.