Active NPI
Meredith Lynn Faith, PH.D.
- School Psychologist
- Albuquerque, NM
National Provider Identifier
1417425083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 294802
- Practice address
- 11109 Elvin Ave NE
Albuquerque, NM 87112-3231 - Phone
- (505) 850-7845
- NPI assigned
- Nov 12, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0947 | NM | |
| School Psychologist | 103TS0200X | 294802 | NM | Primary |
Addresses
Primary practice location
11109 Elvin Ave NE
Albuquerque, NM 87112-3231
Mailing address
11109 Elvin Ave NE
Albuquerque, NM 87112-3231
Phone (505) 850-7845
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0947 | NM | MD | Psychologist |
| 294802 | NM | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541980800000",
"number": "1417425083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 ELVIN AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871123231",
"telephone_number": "505-850-7845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11109 ELVIN AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871123231",
"telephone_number": "505-850-7845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAITH",
"first_name": "MEREDITH",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-12",
"last_updated": "2018-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NM",
"license": "0947",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NM",
"license": "294802",
"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 Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.