DR. MARTIN NICHOLAS ANCONA PH.D. NPI 1003065749

NPI Details

DR. Martin Nicholas Ancona, PH.D. is a prescribing (medical) psychologist in Chaparral, NM with 13 years of experience. 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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. DR. Martin Nicholas Ancona, PH.D. NPI is 1003065749. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

320 MCCOMBS RD STE C
CHAPARRAL, NM
ZIP 88081-937
Phone: (575) 882-5100
Fax: (575) 882-1151

The NPI 1003065749 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Psychotherapy, 30 minutes (HCPCS:90832)
• Psychiatric services complicated by communication factor (HCPCS:90785)
• Psychiatric diagnostic evaluation (HCPCS:90791)

The enumeration date for this NPI number is 9/18/2008 and was last updated on 2/28/2017.

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: