Barbara Koltuska, PH.D., P.C.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

580 Issued in NM

Legal business name

BARBARA KOLTUSKA, PH.D., P.C.

Practice address

11927 Menaul Blvd NE Ste 107
Albuquerque, NM 87112-2457

Phone

(505) 292-5003

Fax

(505) 292-5003

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Barbara Koltuska-Haskin, PH.D.

Title

President

Phone

(505) 292-5003

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477611341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11927 MENAUL BLVD NE STE 107",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122457",
            "telephone_number": "505-292-5003",
            "fax_number": "505-292-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11927 MENAUL BLVD NE STE 107",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122457",
            "telephone_number": "505-292-5003",
            "fax_number": "505-292-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA KOLTUSKA, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOLTUSKA-HASKIN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-292-5003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NM",
            "license": "580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N5851",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katrina Barajas
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• Aaron Barba
• Jacob Leonard Barba Jr.
• Barbara Hope, LCSW, LLC
• Melisa Sayson Barber, PA
• Miguel Angel Barberena, M.D.
• Helene Barbero-Thornton
• Monica Barboa
• Camilly C Barbosa Da Silva

• Clinical Neuropsychologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Neuropsychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.