Owen James Gaasedelen, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

1609 Issued in NM

Practice address

11005 Spain Rd NE Ste 12
Albuquerque, NM 87111-1871

Phone

(505) 289-0779

Fax

(505) 234-7948

NPI assigned

Apr 3, 2020

Last updated

Jun 7, 2021By 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

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1326677220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11917 CARIBOU AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871117218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11005 SPAIN RD NE STE 12",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111871",
            "telephone_number": "505-289-0779",
            "fax_number": "505-234-7948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11917 Caribou Ave NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871117218",
            "country_code": "US",
            "telephone_number": "952-846-7066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2527 Wyoming Blvd NE Ste A",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871121039",
            "country_code": "US",
            "telephone_number": "505-289-0779",
            "fax_number": "505-234-7948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAASEDELEN",
        "first_name": "OWEN",
        "middle_name": "JAMES",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-03",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NM",
            "license": "1609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen S Futey, IBCLC
• Daphne Fux, MS CCC-SLP
• Abby Marie Fyfe, MD
• G Force LLC (Upright MRI of New Mexico)
• G2Resourcesolutions, LLC
• Maria Gabaldon-Parish
• Bryan M Gabaldon, LPC
• Darlene Gabaldon, MD
• Diana Lynn Gabaldon, PHARMD, PHC
• Isabel Gabaldon, SLP

• Clinical Neuropsychologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Neuropsychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.