Organization Active NPI

Dr Helen Marie Pearce Ed D LLC

  • Clinical Psychologist
  • Albuquerque, NM
National Provider Identifier
1194129577
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
438 Issued in NM
Legal business name
DR HELEN MARIE PEARCE ED D LLC
Practice address
100 Sun Ave NE
Suite 650
Albuquerque, NM 87109-4659
Phone
(505) 715-2459
Fax
(505) 797-7628
NPI assigned
Oct 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Authorized official

Name
Dr. Helen Marie Pearce, ED D
Title
Psychologist
Phone
(505) 715-2459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 438 NM Primary

Addresses

Primary practice location

100 Sun Ave NE
Suite 650
Albuquerque, NM 87109-4659

Mailing address

7900 Woodwind Dr NE
Albuquerque, NM 87109-5259
Phone (505) 715-2459

Other identifiers 1

IdentifierTypeStateIssuer
N6684MedicaidNM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1194129577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 WOODWIND DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095259",
            "telephone_number": "505-715-2459",
            "fax_number": "505-797-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SUN AVE NE",
            "address_2": "SUITE 650",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094659",
            "telephone_number": "505-715-2459",
            "fax_number": "505-797-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR HELEN MARIE PEARCE ED D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "HELEN MARIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "505-715-2459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N6684",
            "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 Oct 14, 2014; 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.