Inside-Out Psychological Services

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

812 Issued in NM

Legal business name

INSIDE-OUT PSYCHOLOGICAL SERVICES

Practice address

3901 Georgia St NE Ste B2
Albuquerque, NM 87110-1390

Phone

(505) 385-0225

Fax

(505) 872-8045

NPI assigned

May 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Nancy Aeren Grau, PH.D.

Title

Psychologist

Phone

(505) 385-0225

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1235364969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 GEORGIA ST NE STE B2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101390",
            "telephone_number": "505-385-0225",
            "fax_number": "505-872-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 GEORGIA ST NE STE B2",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101390",
            "telephone_number": "505-385-0225",
            "fax_number": "505-872-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIDE-OUT PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "GRAU",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "AEREN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "505-385-0225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "NM",
            "license": "812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.