Organization Active NPI

Mark Simpson PSYD Mac Ladc LLC

  • Prescribing (Medical) Psychologist
  • Albuquerque, NM
National Provider Identifier
1124584313
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
Legal business name
MARK SIMPSON PSYD MAC LADC LLC
Practice address
3620 Wyoming Blvd NE Ste 112
Albuquerque, NM 87111-3288
Phone
(505) 977-9180
Fax
(505) 214-5897
NPI assigned
Feb 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Authorized official

Name
Mark Stewart Simpson, PSYD LADC LPCC
Title
Owner
Phone
(505) 977-9180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X Primary

Addresses

Primary practice location

3620 Wyoming Blvd NE Ste 112
Albuquerque, NM 87111-3288

Mailing address

2920 Carlisle Blvd NE Ste G
Albuquerque, NM 87110-2867
Phone (505) 977-9180

Other names 1

  • Mark S. Simpson Doing business as

National Provider Directory

National Provider Directory

Locations

3620 Wyoming Blvd NE
Ste 112
Albuquerque, NM 87111
Phone (505) 620-5269

3321 Candelaria Rd NE
Ste 409
Albuquerque, NM 87107
Phone (877) 769-6384

2920 Carlisle Blvd NE
Ste G
Albuquerque, NM 87110
Phone (505) 366-9536

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782950400000",
    "number": "1124584313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 CARLISLE BLVD NE STE G",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871102867",
            "telephone_number": "505-977-9180",
            "fax_number": "505-792-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 WYOMING BLVD NE STE 112",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113288",
            "telephone_number": "505-977-9180",
            "fax_number": "505-214-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK SIMPSON PSYD MAC LADC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-977-9180",
        "authorized_official_credential": "PSYD LADC LPCC"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark S. Simpson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 2, 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.