Samardzija Psychological Center

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SAMARDZIJA PSYCHOLOGICAL CENTER

Practice address

12900 Sandia Point Rd NE
Albuquerque, NM 87111-8198

Phone

(630) 962-9195

NPI assigned

Feb 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Sanka Samardzija, PSYD

Title

Ceo

Phone

(630) 962-9195

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Loralee Ann Rodgers, LMSW

  • Social Worker
  • Albuquerque, NM
  • NPI 1689125452
  NPD (past)

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1073903506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 SANDIA POINT RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871118198",
            "telephone_number": "630-962-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 SANDIA POINT RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871118198",
            "telephone_number": "630-962-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARDZIJA PSYCHOLOGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "SAMARDZIJA",
        "authorized_official_first_name": "SANKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-962-9195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elyas Samadi
• Souheil H Samaha
• Sara Aghaebrahimi Samani
• Sondra Samaniego, MA, LPCC
• Maria Katherine Samaras, PH.D.
• Samaritan Counseling Center of Albuquerque
• Chitra Neela Sambasivan, MD
• Steven Sambrano, PA-C
• Sachielle Samedi, CCC-SLP
• Von Graeger Samedi, M.D., PH.D.

• Clinical Psychologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.