Active NPI
Emmie Rose Hebert, PHD, BCBA-D
- Psychologist
- Albuquerque, NM
National Provider Identifier
1063905214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY1670
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY.0005389 | CO | MD | Psychologist |
| 11515 | NE | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jumpstart, LLC | Behavior Analyst | Past | Accepting new patients |
| Jumpstart, LLC | Past | 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.
-
dba JumpStart Autism Screening and Evaluations
- Clinical Child & Adolescent Psychologist
- Albuquerque, NM
- NPI 1477386852
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.