Individual provider Active NPI

Nancy Handmaker, PHD

  • Addiction (Substance Use Disorder) Psychologist
  • Corrales, NM
National Provider Identifier
1043378771
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
718 Issued in NM
Practice address
3949 Corrales Road
Suite 240
Corrales, NM 87048
Phone
(505) 897-7755
Fax
(505) 897-7799
NPI assigned
Dec 5, 2006
Last updated
Jan 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 718 NM Primary

Addresses

Primary practice location

3949 Corrales Road
Suite 240
Corrales, NM 87048

Mailing address

3949 Corrales Rd
Suite 240
Corrales, NM 87048-9348
Phone (505) 897-7755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
718NMMDAddiction (Substance Use Disorder) Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1043378771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3949 CORRALES RD",
            "address_2": "SUITE 240",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870489348",
            "telephone_number": "505-897-7755",
            "fax_number": "505-897-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3949 CORRALES ROAD",
            "address_2": "SUITE 240",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "87048",
            "telephone_number": "505-897-7755",
            "fax_number": "505-897-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDMAKER",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corrales, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.