PHOENIX GROUP-PSYCHIATRY AND PSYCHOTHERAPY SPECIALISTS, LTD (NPI# 1902091622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902091622 |
| Entity Type | Organization |
| Organization Name | PHOENIX GROUP-PSYCHIATRY AND PSYCHOTHERAPY SPECIALISTS, LTD |
| Other Organization Name | PHOENIX GROUP |
| Practice Address |
9426 Indian School Rd Ne #2 Albuquerque NM 87112 |
| Practice Telephone | 5053420400 |
| Practice Fax Number | 5053420500 |
| Mailing Telephone | 5053420400 |
| Mailing Fax Number | 5053420500 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2008-08-12 |
| Authorized Official Name | SHERRY GRIBLING (SECRETARY OF CORP) |
| Authorized Official Telephone | 5053420400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 798 | NM | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Phoenix Group | Other Name - Individual/Organization |
| Street Address |
9426 INDIAN SCHOOL RD NE #2 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376502310 | Thomas Luigi Dimperio | Psychologist | 9426 Indian School Rd Ne, Suite 2, Albuquerque, NM 87112-2886 | 2006-03-20 |
| 1710387105 | Liza C Mermelstein Phd LLC | Psychologist | 9426 Indian School Rd Ne, Suite 1, Albuquerque, NM 87112-2886 | 2014-09-04 |
| 1073922761 | Meagan Parmley LLC | Psychologist | 9426 Indian School Rd Ne, Albuquerque, NM 87112-2886 | 2014-08-06 |
| 1750722104 | Sandeen Mayer LLC | Psychologist | 9426 Indian School Rd Ne, Suite 1, Albuquerque, NM 87112-2886 | 2013-07-15 |
| 1699065391 | Rae A. Littlewood, Phd, LLC | Psychologist | 9426 Indian School Rd Ne, Suite 1, Albuquerque, NM 87112-2886 | 2011-04-14 |
| 1447447701 | Betsy J Davis Ph D PC | Psychologist | 9426 Indian School Rd Ne, Suite 1, Albuquerque, NM 87112-2886 | 2007-10-01 |
| 1033309711 | Meagan C Parmley | Psychologist | 9426 Indian School Rd Ne, Albuquerque, NM 87112-2886 | 2007-07-28 |
| 1679775076 | Liza Chytilo Mermelstein | Psychologist | 9426 Indian School Rd Ne, Suite 1, Albuquerque, NM 87112-2886 | 2007-06-05 |
| 1962532648 | Bobby N. Holstead, Phd, LLC | Psychologist | 9426 Indian School Rd Ne, Suite 1, Albuquerque, NM 87112-2887 | 2007-03-06 |
| 1639222698 | Betsy J Davis | Psychologist | 9426 Indian School Rd Ne, Ste. 1, Albuquerque, NM 87112-2886 | 2007-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999411 | Lynn Eileen Riley | Counselor | 10205 Stovall Pl Ne, Albuquerque, NM 87112 | 2019-08-30 |
| 1548818222 | Cindy D Montoya | Technician | 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 | 2019-08-27 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| 1316416837 | New Beginning Counseling Services Inc | Counselor | 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 | 2018-11-14 |
| 1306365929 | Calyx Institute LLC | Social Worker | 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 | 2017-09-14 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1508303140 | Makena Bailey Nash | Behavior Technician | 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 | 2017-01-20 |
| 1477978906 | Albert R Toya | Massage Therapist | 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 | 2014-02-20 |
| 1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
| Find all providers in zip 87112 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124637541 | Behavioral Medicine and Assessment of New Mexico LLC | Psychologist | 3520 Calle Cuervo Nw, Albuquerque, NM 87114-9220 | 2020-07-31 |
| 1194287649 | Jennifer Nicole Crawford | Psychologist | Msc09 5030 1 Unm, Albuquerque, NM 87131 | 2019-04-03 |
| 1417425083 | Meredith Lynn Faith | Psychologist | 11109 Elvin Ave Ne, Albuquerque, NM 87112-3231 | 2018-11-12 |
| 1942695903 | Md24 Nm, Inc. | Psychologist | 6565 Americas Parkway Ne #200, Albuquerque, NM 87110 | 2015-04-06 |
| 1932507365 | Reflections Psychological Services, LLC | Psychologist | 3939 San Pedro Dr Ne Bldg C8, Albuquerque, NM 87110-8901 | 2014-12-17 |
| 1457772147 | Candyce Tart | Psychologist | 607 Richmond Dr Ne, Albuquerque, NM 87106-2148 | 2013-12-23 |
| 1043640493 | Kristin Lichtle | Psychologist | 906 Franciscan St Ne, Albuquerque, NM 87102-2416 | 2013-11-22 |
| 1104160910 | Mike Kim | Psychologist | 2900 Louisiana Boulevard Northeast, Suite C1, Albuquerque, NM 87110 | 2012-11-16 |
| 1134473762 | Joseph R Flippo | Psychologist | 2104 Rex Ct Ne, Albuquerque, NM 87112-3661 | 2012-11-05 |
| 1659638195 | Elizabeth Ann-claire Sullivan | Psychologist | 4701 Morris St Ne Apt 601, Albuquerque, NM 87111-7715 | 2012-04-23 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87112 |
Please comment or provide details below to improve the information on PHOENIX GROUP-PSYCHIATRY AND PSYCHOTHERAPY SPECIALISTS, LTD.
| 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.