Embodied Heart Space, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

EMBODIED HEART SPACE, LLC

Practice address

3415 Carlisle Blvd NE
Albuquerque, NM 87110-1648

Phone

(505) 420-1814

Fax

(505) 212-4412

NPI assigned

Mar 27, 2026

Last updated

Mar 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michele Iemolo, PSYD, R-DMT, BCBANPI 1578850954

Title

Owner/Psychologist

Phone

(505) 420-1814

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michele Iemolo, PSY.D., BCBA, R-DMT

  • Psychologist
  • Albuquerque, NM
  • NPI 1578850954
  NPD Authorized official

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

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1336088806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4228 SADDLEBACK RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145665",
            "telephone_number": "505-420-1814",
            "fax_number": "505-212-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 CARLISLE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101648",
            "telephone_number": "505-420-1814",
            "fax_number": "505-212-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIED HEART SPACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "IEMOLO",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "505-420-1814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, R-DMT, BCBA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicole Marie Emanuel
• Michele Ann Emberger, DC
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• Julie Adanma Emeanuwa
• Dione Lee Emelson, RBT
• Emergency Group of Bernalillo LLC

• Psychologist in Albuquerque, NM
• Providers in 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 Mar 27, 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.