Provider Type Icon

NEUROPSYCHOLOGICAL SERVICES OF NEW MEXICO LLC NPI 1326115049


NPI Information

NPI: 1326115049
Provider Name: NEUROPSYCHOLOGICAL SERVICES OF NEW MEXICO, LLC
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
10110 SPAIN RD NE
ALBUQUERQUE, NM
ZIP 87111
Phone: (505) 404-9395
Get Directions

NEUROPSYCHOLOGICAL SERVICES OF NEW MEXICO, LLC 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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. NEUROPSYCHOLOGICAL SERVICES OF NEW MEXICO, LLC NPI is 1326115049. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

10110 SPAIN RD NE
ALBUQUERQUE, NM
ZIP 87111-965
Phone: (505) 404-9395
Fax: (505) 299-4740

The provider's authorized official is John Harold King .
The authorized official title is Director and has the following contact phone number (505) 404-9395.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 5/27/2021.


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
1103G00000XClinical Neuropsychologist0969NEW MEXICONo
2103TC0700XPsychologistClinical0969NEW MEXICONo
3103TP0016XPsychologistPrescribing (Medical)Yes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.