Individual provider Active NPI

Connie Kaye McNeil, PH.D.

  • Clinical Psychologist
  • Albuquerque, NM
National Provider Identifier
1003971573
Registry record updated Jan 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY1568 Issued in NM
Practice address
7027 Montgomery Blvd NE Ste F
Albuquerque, NM 87109-1529
Phone
(505) 880-0100
NPI assigned
Dec 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY1568 NM Primary

Addresses

Primary practice location

7027 Montgomery Blvd NE Ste F
Albuquerque, NM 87109-1529

Mailing address

7027 Montgomery Blvd NE Ste F
Albuquerque, NM 87109-1529
Phone (505) 880-0100

Other identifiers 1

IdentifierTypeStateIssuer
91336309MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200303000285 NM Practitioner - Clinical Psychologist 2567421712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuropsychological Services of New Mexico, LLCGroup PAC ID 3577564947, 3 clinicians

Practice addresses (Care Compare)

10110 Spain Rd NE
Albuquerque, NM 87111-1965
Phone (505) 404-9395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY1568NMMDClinical Psychologist
014435NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychological Services of New Mexico, LLC Clinical Neuropsychologist CurrentSince Jul 2, 2025 Accepting new patients

Locations

10110 Spain Rd NE
Albuquerque, NM 87111
Phone (505) 294-5065

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735948800000",
    "number": "1003971573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7027 MONTGOMERY BLVD NE STE F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091529",
            "telephone_number": "505-880-0100",
            "fax_number": "505-880-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7027 MONTGOMERY BLVD NE STE F",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091529",
            "telephone_number": "505-880-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "CONNIE",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2025-01-04",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "PSY1568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91336309",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.