Active NPI
Penelope Penland, EDD
- Clinical Psychologist
- Santa Fe, NM
National Provider Identifier
1376768994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 457
- Practice address
- 200 West de Vargas
Suite 2
Santa Fe, NM 87501 - Phone
- (505) 983-3990
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 457 | NM | Primary |
Addresses
Primary practice location
200 West de Vargas
Suite 2
Santa Fe, NM 87501
Mailing address
PO Box 2122
Santa Fe, NM 87504-2122
Phone (505) 983-3990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376768994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2122",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875042122",
"telephone_number": "505-983-3990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WEST DE VARGAS",
"address_2": "SUITE 2",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87501",
"telephone_number": "505-983-3990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENLAND",
"first_name": "PENELOPE",
"credential": "EDD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NM",
"license": "457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.