NPIMap

Organization Active NPI

Psychology Associates, PC

  • Clinical Psychologist
  • Albuquerque, NM
National Provider Identifier
1356495329
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
529 Issued in NM
Legal business name
PSYCHOLOGY ASSOCIATES, PC
Practice address
4801 Indian School Rd NE Ste 200
Albuquerque, NM 87110-4968
Phone
(505) 256-1021
Fax
(505) 268-7442
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Authorized official

Name
Charlene McIver, PH.D.
Title
President
Phone
(505) 256-1021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 529 NM Primary

Addresses

Primary practice location

4801 Indian School Rd NE Ste 200
Albuquerque, NM 87110-4968

Mailing address

4801 Indian School Rd NE Ste 200
Albuquerque, NM 87110-4968
Phone (505) 256-1021

National Provider Directory

National Provider Directory

Locations

4801 Indian School Rd NE
Ste 200
Albuquerque, NM 87110
Phone (505) 256-1021

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1356495329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 INDIAN SCHOOL RD NE STE 200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104968",
            "telephone_number": "505-256-1021",
            "fax_number": "505-268-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 INDIAN SCHOOL RD NE STE 200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104968",
            "telephone_number": "505-256-1021",
            "fax_number": "505-268-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "MCIVER",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-256-1021",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.