Jonathan Kurtyka, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

320 Gold Ave SW
Suite 1001
Albuquerque, NM 87102-3228

Phone

(505) 247-4900

NPI assigned

Dec 28, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Southwest Neuropsychology and Behavioral Health, LLC

  • Clinical Neuropsychologist
  • Albuquerque, NM
  • NPI 1023315017
  Medicare reassignment NPD Authorized official
• House Calls of New Mexico LLC

  • Specialist
  • Albuquerque, NM
  • NPI 1194779322
  NPD
• Southwest Neuropsychology & Behavioral Health

  • Social Worker
  • Albuquerque, NM
  • NPI 1487104402
  NPD

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1104156058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 GOLD AVE SW",
            "address_2": "SUITE 1001",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023228",
            "telephone_number": "505-247-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 GOLD AVE SW",
            "address_2": "SUITE 1001",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023228",
            "telephone_number": "505-247-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTYKA",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-28",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Kuo, M.D.
• Theresa Ann Kuracina, R.D.
• Mackenzie Kurosky
• Karen D Kurowski, THERAPIST
• Angela S Kurth, PHARM D
• Leslie P Kurtz, MD
• Ansu Mary Kuruvilla, APRN, BC
• Blake Kusmin
• Katie Kussard
• Kusum R Prabhakar MD PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.