ROBERT ERICSON PHD NPI 1700069796

NPI Information

NPI: 1700069796
Provider Name: ROBERT ERICSON, PHD
Classification: Psychologist - 103TB0200X
Entity Type: Organization

Specialization: Cognitive & Behavioral

Address:
6463 4TH ST NW
SUITE C
LOS RANCHOS DE ALBUQUERQUE, NM
ZIP 87107
Phone: (505) 344-9500
Get Directions

ROBERT ERICSON, PHD is a cognitive and behavioral psychologist in Los Ranchos De Albuquerque, NM. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. ROBERT ERICSON, PHD NPI is 1700069796. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6463 4TH ST NW
SUITE C
LOS RANCHOS DE ALBUQUERQUE, NM
ZIP 87107-810
Phone: (505) 344-9500
Fax: (505) 342-1084

The provider's authorized official is Robert Charles Ericson .
The authorized official title is President and has the following contact phone number (505) 242-6672.

The enumeration date for this NPI number is 12/12/2007 and was last updated on 8/5/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TB0200X	Psychologist	Cognitive & Behavioral	239	NEW MEXICO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	468508934P	MEDICARE PIN	NEW MEXICO
2	NM00N206	OTHER	NEW MEXICO	BLUE CROSS BLUE SHIELD
3	N8396	MEDICAID	NEW 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: 5/5/2024

NPI Synchronization or Removal

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