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ROBERTS MEDICAL PSYCHOLOGY INC. NPI 1447579487


NPI Information

NPI: 1447579487
Provider Name: ROBERTS MEDICAL PSYCHOLOGY, INC.
Classification: Psychologist - 103TP0016X
Entity Type: Organization

Specialization: Prescribing (Medical)

Address:
2929 COORS BLVD NW
201H
ALBUQUERQUE, NM
ZIP 87120
Phone: (505) 312-7070
Get Directions

ROBERTS MEDICAL PSYCHOLOGY, INC. 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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. ROBERTS MEDICAL PSYCHOLOGY, INC. NPI is 1447579487. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2929 COORS BLVD NW
201H
ALBUQUERQUE, NM
ZIP 87120-173
Phone: (505) 312-7070
Fax: (310) 553-5288

The provider's authorized official is Allan Ray Roberts .
The authorized official title is President and has the following contact phone number (505) 312-7070.

The enumeration date for this NPI number is 5/28/2010 and was last updated on 9/29/2016.


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
1103TC0700XPsychologistClinicalPSY13524CALIFORNIANo
2103TC0700XPsychologistClinical1255NEW MEXICONo
3103TP0016XPsychologistPrescribing (Medical)0043NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
157053243MEDICAIDNEW MEXICO
2PSY135240MEDICAIDCALIFORNIA

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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