Mary Rose Ghammachi Bennett, LPCC PHD
Individual provider Active NPI Psychologist · Albuquerque, NM
NPI 1609934108 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1609934108
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 0894 (NM)
- Practice address
- 425 Amherst Dr NE
Albuquerque, NM 87106 - Phone
- (505) 265-9662
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0894 | NM | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0894 | NM | |
| Psychologist | 103T00000X | 0894 | NM | Yes |
| Psychoanalysis Psychologist | 103TP0814X | 0894 | NM |
Addresses
Primary practice location
425 Amherst Dr NE
Albuquerque, NM 87106
Mailing address
425 Amherst Dr NE
Albuquerque, NM 87106
Phone (505) 265-9662
Other names
- Mary Rose Ghammachi Bennett
Other providers in Albuquerque, NM
- Jack George Ghably
- Ghaffari Medical Pharmacy
- Ghaffari Medical Pharmacy Inc
- Cyrus Aria Ghaffari
- Sina Ghaffarifar
- Hiba Ghanem
- Parya Gharibi
- Mona Ghattas
- Gherardi & Moore PA
- Joseph Gherardi
All providers in Albuquerque, NM · Psychologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.