Organization Active NPI

Carole a. Mazurowski, PHD, PA

  • Clinical Neuropsychologist
  • Albuquerque, NM
National Provider Identifier
1528281896
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
0881 Issued in NM
Legal business name
CAROLE A. MAZUROWSKI, PHD, PA
Practice address
6565 Americas Pkwy NE
Suite 200
Albuquerque, NM 87110-8116
Phone
(505) 620-2848
Fax
(866) 578-0586
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Authorized official

Name
Dr. Carole A. Mazurowski, PH.D.
Title
President
Phone
(505) 620-2848

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103G00000X 0881 NM Primary
Cognitive & Behavioral PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TB0200X 0881 NM

Addresses

Primary practice location

6565 Americas Pkwy NE
Suite 200
Albuquerque, NM 87110-8116

Mailing address

PO Box 90815
Albuquerque, NM 87199-0815
Phone (505) 620-2848

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396915200000",
    "number": "1528281896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90815",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871990815",
            "telephone_number": "505-620-2848",
            "fax_number": "866-578-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 AMERICAS PKWY NE",
            "address_2": "SUITE 200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871108116",
            "telephone_number": "505-620-2848",
            "fax_number": "866-578-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLE A. MAZUROWSKI, PHD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2014-04-08",
        "status": "A",
        "authorized_official_last_name": "MAZUROWSKI",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-620-2848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NM",
            "license": "0881",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NM",
            "license": "0881",
            "primary": false
        }
    ],
    "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 Apr 8, 2014; 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.