Active NPI
Gautama Katzman, LMFT
- Marriage & Family Therapist
- Albuquerque, NM
National Provider Identifier
1073706164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0080321
- Practice address
- 2501 San Pedro Dr NE
Suite 106
Albuquerque, NM 87110-4131 - Phone
- (505) 250-1600
- NPI assigned
- Aug 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0080321 | NM | Primary |
Addresses
Primary practice location
2501 San Pedro Dr NE
Suite 106
Albuquerque, NM 87110-4131
Mailing address
2501 San Pedro Dr NE
Suite 106
Albuquerque, NM 87110-4131
Phone (505) 250-1600
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0080321 | NM | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187740800000",
"number": "1073706164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 SAN PEDRO DR NE",
"address_2": "SUITE 106",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871104131",
"telephone_number": "505-250-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 SAN PEDRO DR NE",
"address_2": "SUITE 106",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871104131",
"telephone_number": "505-250-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZMAN",
"first_name": "GAUTAMA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-22",
"last_updated": "2007-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NM",
"license": "0080321",
"primary": true
}
],
"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 Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.