NPIMap

Organization Active NPI

Intelligent Hypnotherapy

  • Clinical Psychologist
  • Albuquerque, NM
National Provider Identifier
1396237848
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
INTELLIGENT HYPNOTHERAPY
Practice address
4801 Lang Ave NE Ste 110
Albuquerque, NM 87109
Phone
(505) 798-2552
NPI assigned
May 31, 2018
Last updated
Jul 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Authorized official

Name
Gary NeugerNPI 1013055862
Title
Clinical Psychologist
Phone
(505) 798-2552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

4801 Lang Ave NE Ste 110
Albuquerque, NM 87109

Mailing address

4801 Lang Ave NE Ste 110
Albuquerque, NM 87109-4475
Phone (505) 798-2552

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1396237848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 LANG AVE NE STE 110",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094475",
            "telephone_number": "505-798-2552",
            "fax_number": "505-796-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 LANG AVE NE STE 110",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-798-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLIGENT HYPNOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "NEUGER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "505-798-2552"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "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 Jul 31, 2020; 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.