Robert Charles Ericson, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

239 Issued in NM

Practice address

6463 4TH St NW
Ste. C
Los Ranchos de Albuquerque, NM 87107-5810

Phone

(505) 344-9500

Fax

(505) 342-1084

NPI assigned

Jul 27, 2006

Last updated

Oct 18, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robert Ericson, PHD

  • Cognitive & Behavioral Psychologist
  • Los Ranchos de Albuquerque, NM
  • NPI 1700069796
  NPD (past) Authorized official
• Bobby N. Holstead, PHD, LLC

  • Psychologist
  • Albuquerque, NM
  • NPI 1962532648
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792281600000",
    "number": "1275547440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6463 4TH ST., NW",
            "address_2": "STE. C",
            "city": "LOS RANCHOS DE ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87107",
            "telephone_number": "505-344-9500",
            "fax_number": "505-342-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6463 4TH ST NW",
            "address_2": "STE. C",
            "city": "LOS RANCHOS DE ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075810",
            "telephone_number": "505-344-9500",
            "fax_number": "505-342-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICSON",
        "first_name": "ROBERT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2026-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NM",
            "license": "239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dessie Montoya-Soto, M.S. CCC-SLP

• Psychologist in Los Ranchos de Albuquerque, NM
• Providers in Los Ranchos de Albuquerque, NM by specialty
• Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.