CLINICAL, FORENSIC NERUOPSYCHOLOGIST ASSOCIATES OF NEW MEXICO (NPI# 1881033231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881033231 |
| Entity Type | Organization |
| Organization Name | CLINICAL, FORENSIC NERUOPSYCHOLOGIST ASSOCIATES OF NEW MEXICO |
| Practice Address |
3228 Los Arboles Ave Ne Bldg. 1-230 Albuquerque NM 87107-1962 |
| Practice Telephone | 5053312829 |
| Practice Fax Number | 5058213365 |
| Mailing Telephone | 5053312829 |
| Mailing Fax Number | 5058213365 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |
| Authorized Official Name | DR. SHARON KERNEN (DEPARTMENT OF HEALTH PROVIDER) |
| Authorized Official Telephone | 5052638055 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 1130 | NM | Behavioral Health & Social Service Providers |
| Street Address |
3228 LOS ARBOLES AVE NE BLDG. 1-230 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87107-1962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063814747 | Dr. Cynthia Keeran, Ph.d., Inc | Psychologist | 3228 Los Arboles Ave Ne, Ste. 200, Albuquerque, NM 87107-1962 | 2014-09-24 |
| 1104231786 | Cindy Jean Keeran | Psychologist | 3228 Los Arboles Ave Ne, Bldg. A. Suite 200, Albuquerque, NM 87107-1962 | 2014-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589785 | Benjamin Argant | Behavior Technician | 331 Candelaria Road North East Suite A, Albuquerque, NM 87107 | 2020-08-20 |
| 1679138861 | Susan Luna, Lpcc LLC | Counselor | 3221 B Candelaria Ne, Albuquerque, NM 87107 | 2019-05-03 |
| 1407310881 | Eleanor Cloe Tibbetts | Speech-Language Pathologist | 7103 4th St. Nw Chatterbox Speech Therapy, Los Ranchos, NM 87107 | 2019-01-30 |
| 1386174829 | Triple D Medical Transportation, LLC. | Secured Medical Transport (VAN) | 2123 Menaul Blvd Ne Ste B, Albuquerque, NM 87107 | 2017-06-18 |
| 1487100715 | Kayleen Weinandt | Community/Behavioral Health | 3301 Los Arboles Ne, Albuquerque, NM 87107 | 2016-08-28 |
| 1811345549 | Inverse Medical, LLC | Non-emergency Medical Transport (VAN) | 1015 Cottonwood Dr. Suite J, Albuquerque, NM 87107 | 2016-06-03 |
| 1710349220 | Evolv Strong, LLC | Specialist/Technologist | 3201 Candelaria Rd Ne, Albuquerque, NM 87107 | 2016-03-23 |
| 1982072443 | Erik Robinson | Social Worker | 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 | 2015-09-14 |
| 1033505763 | Sam Newmon Ma, Lpcc | Counselor | 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 | 2015-04-09 |
| 1760896203 | Jocelyn Fiaschetti | Social Worker | 7704 4th Street Nw, Albuquerque, NM 87107 | 2014-06-12 |
| Find all providers in zip 87107 | ||||
| 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 |
| 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 |
| 1447492087 | Andrew Mayer | Clinical Neuropsychologist | 2201 San Pedro Dr Ne Bldg 1-215, Albuquerque, NM 87110-4195 | 2009-03-27 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87107 |
Please comment or provide details below to improve the information on CLINICAL, FORENSIC NERUOPSYCHOLOGIST ASSOCIATES OF NEW MEXICO.
| 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.