NPIMap

Organization Active NPI

Copper Key Psychology, LLC

Doing business as Sally Eden Moretti, Psy.D.

  • Adult Mental Health Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1053835710
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
1395 Issued in NM
Legal business name
COPPER KEY PSYCHOLOGY, LLC
Doing business as
Sally Eden Moretti, Psy.D.
Practice address
5920 Canyon Vista Dr NE
Albuquerque, NM 87111-6621
Phone
(505) 933-1807
Fax
(505) 856-1614
NPI assigned
Aug 3, 2017
Last updated
Sep 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Authorized official

Name
Dr. Sally Eden Moretti, PSY.D.NPI 1982076402
Title
Owner/Psychologist
Phone
(505) 933-1807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 1395 NM Primary

Addresses

Primary practice location

5920 Canyon Vista Dr NE
Albuquerque, NM 87111-6621

Mailing address

5920 Canyon Vista Dr NE
Albuquerque, NM 87111-6621
Phone (505) 933-1807

Other names 1

  • Sally Eden Moretti, Psy.D. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1053835710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 CANYON VISTA DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871116621",
            "telephone_number": "505-933-1807",
            "fax_number": "505-856-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 CANYON VISTA DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871116621",
            "telephone_number": "505-933-1807",
            "fax_number": "505-856-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER KEY PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "MORETTI",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "EDEN",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "505-933-1807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NM",
            "license": "1395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sally Eden Moretti, Psy.D.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sally Eden Moretti, Psy.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.