Roxanne R Duran, PHD
Individual provider Active NPI Psychologist · Albuquerque, NM
NPI 1083673065 · NPPES record last updated Jun 17, 2008
Key facts
- NPI
- 1083673065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 798 (NM)
- Practice address
- 9426 Indian School Rd NE
Suite 2
Albuquerque, NM 87112-2886 - Phone
- (505) 342-0400
- Fax
- (505) 342-0500
- NPI assigned
- Mar 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 798 | NM | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence Harris Phdllc | Psychologist | Past | Accepting new patients |
| Phoenix Group-Psychiatry and Psychotherapy Specialists, LTD | Psychologist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 798 | NM | Yes |
Addresses
Primary practice location
9426 Indian School Rd NE
Suite 2
Albuquerque, NM 87112-2886
Mailing address
9426 Indian School Rd NE
Suite 2
Albuquerque, NM 87112-2886
Phone (505) 342-0400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105755 | Other | MHN | |
| 850407910 | Other | NM | TRICARE |
Other providers in Albuquerque, NM
- Mollie Duran
- Morgan Duran
- Nathan Levi Duran
- Rachel Valentina Duran
- Regina M Duran
- Sammy R Duran
- Victor Alan Duran
- Violeta Duran
- Yvonne Duran
- Zulma M. Duran
All providers in Albuquerque, NM · Psychologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.