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INTEGRATED HEALTHCARE OF NEW MEXICO NPI 1003218553


NPI Information

NPI: 1003218553
Provider Name: INTEGRATED HEALTHCARE OF NEW MEXICO
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
7632 WILLIAM MOYERS AVE NE
ALBUQUERQUE, NM
ZIP 87122
Phone: (505) 554-1716
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INTEGRATED HEALTHCARE OF NEW MEXICO is a prescribing (medical) psychologist in Albuquerque, NM. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. INTEGRATED HEALTHCARE OF NEW MEXICO NPI is 1003218553. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7632 WILLIAM MOYERS AVE NE
ALBUQUERQUE, NM
ZIP 87122-765
Phone: (505) 554-1716
Fax: (505) 792-5222

The provider's authorized official is Stephen L Cheshire .
The authorized official title is Ceo and has the following contact phone number (505) 554-1716.

The enumeration date for this NPI number is 9/16/2014 and was last updated on 9/16/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TP0016XPsychologistPrescribing (Medical)1251NEW MEXICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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