Individual provider Active NPI

Emmie Rose Hebert, PHD, BCBA-D

  • Psychologist
  • Albuquerque, NM
National Provider Identifier
1063905214
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY1670 Issued in NM
Practice address
8500 Washington St NE Ste A1
Albuquerque, NM 87113-1861
Phone
(505) 828-3837
Fax
(877) 828-1550
NPI assigned
Jun 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY1670 NM Primary
Behavior Analyst 103K00000X 1-19-38500
Psychologist 103T00000X PSY.0005389 CO

Addresses

Primary practice location

8500 Washington St NE Ste A1
Albuquerque, NM 87113-1861

Mailing address

8500 Washington St NE Ste A1
Albuquerque, NM 87113-1861
Phone (505) 828-3837

Other practice location 1

1817 Wellspring Ave SE Ste D
Rio Rancho, NM 87124-4956
Phone (505) 828-3837 ext. 501

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY.0005389COMDPsychologist
11515NEMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jumpstart, LLC Behavior Analyst PastSince Apr 1, 2021 Accepting new patients
Jumpstart, LLC PastSince Aug 25, 2024 Accepting new patients

Organizations & group practices 2

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": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1063905214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 WASHINGTON ST NE STE A1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131861",
            "telephone_number": "505-828-3837",
            "fax_number": "877-828-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 WASHINGTON ST NE STE A1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871131861",
            "telephone_number": "505-828-3837",
            "fax_number": "877-828-1550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1817 Wellspring Ave SE Ste D",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871244956",
            "country_code": "US",
            "telephone_number": "505-828-3837 x501",
            "fax_number": "877-828-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "EMMIE",
        "middle_name": "ROSE",
        "credential": "PHD, BCBA-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NM",
            "license": "PSY1670",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-19-38500",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY.0005389",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 27, 2026; 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.