Active NPI
New Mexico Psych Med Services, LLC
- Prescribing (Medical) Psychologist
- Albuquerque, NM
National Provider Identifier
1023889144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prescribing (Medical) Psychologist
- Legal business name
- NEW MEXICO PSYCH MED SERVICES, LLC
- Practice address
- 9652 Sun Dancer Dr NW
Albuquerque, NM 87114-6089 - Phone
- (505) 238-5897
- Fax
- (505) 212-4984
- NPI assigned
- Jan 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina Vento, PSYD, MACP
- Title
- Ceo/Proprietor
- Phone
- (505) 218-6383
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prescribing (Medical) Psychologist | 103TP0016X | Primary |
Addresses
Primary practice location
9652 Sun Dancer Dr NW
Albuquerque, NM 87114-6089
Mailing address
10242 Coors Bypass NW # 1020
Albuquerque, NM 87114-4088
Phone (505) 289-0641
National Provider Directory
National Provider DirectoryLocations
10242 Coors Bypass NW
Albuquerque, NM 87114
Phone (785) 367-2353
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prescribing (Medical) Psychologist
- Albuquerque, NM
- NPI 1336262690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704758400000",
"number": "1023889144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10242 COORS BYPASS NW # 1020",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871144088",
"telephone_number": "505-289-0641",
"fax_number": "505-212-4984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9652 SUN DANCER DR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871146089",
"telephone_number": "505-238-5897",
"fax_number": "505-212-4984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW MEXICO PSYCH MED SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-09",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A",
"authorized_official_last_name": "VENTO",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_title_or_position": "CEO/PROPRIETOR",
"authorized_official_telephone_number": "505-218-6383",
"authorized_official_credential": "PSYD, MACP"
},
"taxonomies": [
{
"code": "103TP0016X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Prescribing (Medical)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
- New Mexico Professional Dental Associates, Inc (Family Dentistry of Cherry Hills)
- New Mexico Professional Dental Associates, Inc (Family Dental)
- New Mexico Professional Dental Associates, Inc (Alegre Dental @ Petroglyphs)
- New Mexico Professional Dental Associates, Inc (Alegre Dental @ Bosque)
- New Mexico Professionals Resource Network, LLC
- New Mexico Psychological and Behavioral Services LLC
- New Mexico Psychotherapy LLC
- New Mexico Quality Case Management
- New Mexico Reentry Center
- New Mexico Resource Center for Health Professionals
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.