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TOMAS R. GRANADOS PSY.D. NPI 1861606246


NPI Information

NPI: 1861606246
Provider Name: TOMAS R. GRANADOS, PSY.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
7000 JEFFERSON ST NE
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 797-0810
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TOMAS R. GRANADOS, PSY.D. is a clinical neuropsychologist in Albuquerque, NM. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. TOMAS R. GRANADOS, PSY.D. NPI is 1861606246. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7000 JEFFERSON ST NE
ALBUQUERQUE, NM
ZIP 87109-313
Phone: (505) 797-0810
Fax: (505) 797-0814

The provider's authorized official is Tomas Refugio Granados .
The authorized official title is Owner and has the following contact phone number (505) 797-0810.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 7/7/2009.


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
1103TC0700XPsychologistClinical702NEW MEXICONo
2103G00000XClinical Neuropsychologist702NEW 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
1201011548OTHERNEW MEXICOCLINICAL PSYCHOLOGY
2NM00JP49OTHERNEW MEXICOCLINICAL PSYCHOLOGY
3300521090MEDICARE PINNEW MEXICO
4S8524MEDICAIDNEW MEXICO

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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