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THE CENTER FOR DYNAMIC PRACTICE NPI 1518600048


NPI Information

NPI: 1518600048
Provider Name: THE CENTER FOR DYNAMIC PRACTICE
Classification: Psychologist - 103TH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1221 S SAINT FRANCIS DR STE B
SANTA FE, NM
ZIP 87505
Phone: (505) 636-6550
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THE CENTER FOR DYNAMIC PRACTICE is a health service psychologist in Santa Fe, NM. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). THE CENTER FOR DYNAMIC PRACTICE NPI is 1518600048. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1221 S SAINT FRANCIS DR STE B
SANTA FE, NM
ZIP 87505-036
Phone: (505) 636-6550
Fax: (505) 372-6979

The provider's authorized official is Benjamin Greenberg .
The authorized official title is Director and has the following contact phone number (505) 636-6550.

The enumeration date for this NPI number is 4/13/2022 and was last updated on 4/13/2022.


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
1102L00000XPsychoanalystNo
2103TA0700XPsychologistAdult Development & AgingNo
3103TC0700XPsychologistClinicalNo
4103TP0814XPsychologistPsychoanalysisNo
5261QM0850XClinic/CenterAdult Mental HealthNo
6390200000XStudent in an Organized Health Care Education/Training ProgramNo
7103TH0100XPsychologistHealth ServiceYes

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.