Upstream Neuropsychology & Therapy Services LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

UPSTREAM NEUROPSYCHOLOGY & THERAPY SERVICES LLC

Practice address

210 N Court Ave
Farmington, NM 87401-6941

Phone

(505) 407-5852

NPI assigned

Jul 9, 2026

Organization subpart

No

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

Authorized official

Name

Charles Daniel Marquez, PSY.D.

Title

Owner/Neuropsychologist

Phone

(505) 407-5852

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1104744655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N COURT AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016941",
            "telephone_number": "505-407-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N COURT AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874016941",
            "telephone_number": "505-407-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTREAM NEUROPSYCHOLOGY & THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "505-407-5852",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrel Turner, PEER SUPPORT
• Joshua Turner, DO
• Shafqat Ullah, MBBS
• Robert M Underwood, M.D.
• Uphold Chiropractic, PC
• Anthony Patrick Valdez, DPT
• Autumn Valdez, CNP
• Eusebio Victor Valdez
• Jimmy Valdez, PSR AIDE
• Lea Valdez

• Clinical Neuropsychologist in Farmington, NM
• Providers in Farmington, NM by specialty
• Clinical Neuropsychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.