Active NPI
Thomas R Carey, PHD
- Psychoanalysis Psychologist
- Albuquerque, NM
National Provider Identifier
1164531489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalysis Psychologist
- License
- 221
- Practice address
- 4308 Carlisle Blvd NE, Ste 210
Albuquerque, NM 87107-4849 - Phone
- (505) 247-1921
- Fax
- (505) 247-1020
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | 221 | NM | Primary |
Addresses
Primary practice location
4308 Carlisle Blvd NE, Ste 210
Albuquerque, NM 87107-4849
Mailing address
4308 Carlisle Blvd NE, Ste 210
Albuquerque, NM 87107-4849
Phone (505) 247-1921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000N6150 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 221 | NM | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1164531489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4308 CARLISLE BLVD NE, STE 210",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871074849",
"telephone_number": "505-247-1921",
"fax_number": "505-247-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4308 CARLISLE BLVD NE, STE 210",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871074849",
"telephone_number": "505-247-1921",
"fax_number": "505-247-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAREY",
"first_name": "THOMAS",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "NM",
"license": "221",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000N6150",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}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 Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.