DR. NICHOLAS DAVID WIGNALL


Address: 1 San Rafael Ave Ne, Albuquerque, NM 87122-1116
Phone: 5058231600

DR. NICHOLAS DAVID WIGNALL (NPI# 1982054748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982054748
Entity Type Individual
Full Name DR. NICHOLAS DAVID WIGNALL
Credential PHD
Practice Address 1 San Rafael Ave Ne
Albuquerque
NM 87122-1116
Practice Telephone 5058231600
Mailing Telephone 5058231600
Enumeration Date 2016-06-13
Last Update Date 2016-06-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 1416 NM Behavioral Health & Social Service Providers

Office Location

Street Address 1 SAN RAFAEL AVE NE
City ALBUQUERQUE
State NM
Zip Code 87122-1116

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083712186 Charles Harold Elliott Psychologist 1 San Rafael Ave Ne, Albuquerque, NM 87122-1116 2006-09-20
1659812246 Duyen B Vo Psychologist 1 San Rafael Ave Ne, Albuquerque, NM 87122-1116 2017-03-15
1235467010 Matthew Todd Sewell Psychologist 1 San Rafael Ave Ne, Albuquerque, NM 87122-1116 2009-12-06
1700984804 Laura Louise Smith Clinical Neuropsychologist 1 San Rafael Ave Ne, Albuquerque, NM 87122-1116 2006-09-20

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1891181913 Paul Wright Occupational Therapist 30 Canocito Drive Ne, Albuquerque, NM 87122 2015-04-15
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City ALBUQUERQUE
Zip Code 87122

Improve Information

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Dataset Information

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.

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