Active NPI
Carl Valdez
- School Psychologist
- Albuquerque, NM
National Provider Identifier
1477209575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 224555
- Practice address
- 8016 Monte Carlo Dr NW
Albuquerque, NM 87120-3287 - Phone
- (505) 453-7110
- NPI assigned
- Feb 28, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 224555 | NM | Primary |
Addresses
Primary practice location
8016 Monte Carlo Dr NW
Albuquerque, NM 87120-3287
Mailing address
8016 Monte Carlo Dr NW
Albuquerque, NM 87120-3287
Phone (505) 453-7110
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 224555 | NM | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646006400000",
"number": "1477209575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8016 MONTE CARLO DR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871203287",
"telephone_number": "505-453-7110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8016 MONTE CARLO DR NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871203287",
"telephone_number": "505-453-7110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ",
"first_name": "CARL",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-28",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, School",
"state": "NM",
"license": "224555",
"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 Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.