Kelly Albonico, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

36 Sierra Blanca
Cedar Crest, NM 87008-9445

Phone

(415) 246-8530

NPI assigned

Apr 14, 2021

Sex

Female

Sole proprietor

Yes

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.

• Desert Thriving LLC

  • Community/Behavioral Health Agency
  • Cedar Crest, NM
  • NPI 1801601091

  Psychologist

  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 14, 2025.

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1194306944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SIERRA BLANCA",
            "city": "CEDAR CREST",
            "state": "NM",
            "postal_code": "870089445",
            "telephone_number": "415-246-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 SIERRA BLANCA",
            "city": "CEDAR CREST",
            "state": "NM",
            "postal_code": "870089445",
            "telephone_number": "415-246-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBONICO",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aleksey Kozlov, D.M.D., LLC
• Amir H. Manoutchehri M.D. PC
• Karen Becker
• Bioelectro Medicine LLC
• Bodymindspirit

• All providers in Cedar Crest, NM
• Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.