Individual provider Active NPI

Christina Elizabeth Vento, PSYD

  • Prescribing (Medical) Psychologist
  • Albuquerque, NM
National Provider Identifier
1336262690
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
0016 Issued in NM
Practice address
9301 Indian School Rd NE
Albuquerque, NM 87112-2884
Phone
(505) 218-6383
Fax
(505) 636-6338
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0789 NM
Prescribing (Medical) Psychologist 103TP0016X 0016 NM Primary

Addresses

Primary practice location

9301 Indian School Rd NE
Albuquerque, NM 87112-2884

Mailing address

9652 Sun Dancer Dr NW
Albuquerque, NM 87114-6089
Phone (505) 238-5897

Other identifiers 2

IdentifierTypeStateIssuer
18677037MedicaidNM
89550838MedicaidNM

Other names 1

  • Christina Vento Fay Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100617000025 NM Practitioner - Clinical Psychologist 0547390650 Reassigns benefits to 1 organization
I20171019002747 TX Practitioner - Clinical Psychologist 0547390650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Centro Family HealthGroup PAC ID 9830080688, shared by 19 NPIs, 31 clinicians

Practice addresses (Care Compare)

1235 8TH St
Las Vegas, NM 87701-4219
Phone (505) 425-6788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0016NMMDNaprapath

Practice roles

OrganizationSpecialtyStatusNew patients
El Centro Family Health CurrentSince May 20, 2024 Accepting new patients
Active Chiropractic Spine & Joint Center, LLC CurrentSince Dec 6, 2019 Accepting new patients
New Mexico Psych Med Services, LLC Prescribing (Medical) CurrentSince Jan 14, 2024 Accepting new patients
El Centro Family Health CurrentSince May 20, 2024 Accepting new patients
Second Mile Psychological and Consulting Services Past Accepting new patients
El Centro Family Health Past Accepting new patients
Centro Savila LLC PastSince Feb 8, 2016 Accepting new patients

Locations

111 N Railroad Ave
Espanola, NM 87532
Phone (505) 753-7218

1235 8th St
Las Vegas, NM 87701
Phone (505) 425-6751

7528 4th St NW
Ste D
Los Ranchos, NM 87107
Phone (505) 822-5001

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1336262690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9652 SUN DANCER DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871146089",
            "telephone_number": "505-238-5897",
            "fax_number": "505-248-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 INDIAN SCHOOL RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122884",
            "telephone_number": "505-218-6383",
            "fax_number": "505-636-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTO",
        "first_name": "CHRISTINA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "0789",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "NM",
            "license": "0016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18677037",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89550838",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "FAY",
            "middle_name": "VENTO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.