Active NPI
Patricia Fleming, PHD
- Clinical Psychologist
- Corrales, NM
National Provider Identifier
1467548107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 687
- Practice address
- 178 Camino Rayo del Sol
Corrales, NM 87048 - Phone
- (505) 792-3002
- Fax
- (505) 994-2373
- NPI assigned
- Oct 4, 2006
- Last updated
- Jul 9, 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 | 687 | NM | Primary |
Addresses
Primary practice location
178 Camino Rayo del Sol
Corrales, NM 87048
Mailing address
4801 Lang Ave NE
Suite 110
Albuquerque, NM 87109-4475
Phone (505) 994-2375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z1339 | Medicaid | NM |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 687 | NM | MD | Orthopedic Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1467548107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 LANG AVE NE",
"address_2": "SUITE 110",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094475",
"telephone_number": "505-994-2375",
"fax_number": "505-994-2373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 CAMINO RAYO DEL SOL",
"city": "CORRALES",
"state": "NM",
"postal_code": "87048",
"telephone_number": "505-792-3002",
"fax_number": "505-994-2373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "PATRICIA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NM",
"license": "687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z1339",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corrales, NM
- Patricia Anne Dubois, LISW
- Lisa Eckelkamp, MS, CCC-SLP, BCBA
- Jessica Lee Edge, LMHC, CHW
- Enchantment Upper Cervical LLC (Enchantment Upper Cervical Chiropractic)
- William Francis Fitzpatrick, M.D.
- Matthew Fontana, MD
- Aaron Foster, LPCC
- Four Point Therapy, LLC
- Julie Raye Fuller, RDH
- Sixta Galindo, CNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.