Organization Active NPI

Lewis Nemes PHD LLC

  • Adult Mental Health Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1619157278
Registry record updated Aug 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
523 Issued in NM
Legal business name
LEWIS NEMES PHD LLC
Practice address
516 Barlane PL NW
Albuquerque, NM 87107-5402
Phone
(505) 345-6616
Fax
(505) 765-9010
NPI assigned
Nov 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2021

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

Authorized official

Name
Lewis Nemes, PHDNPI 1932114782
Title
Psychologist/Owner
Phone
(505) 345-6616

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 523 NM Primary

Addresses

Primary practice location

516 Barlane PL NW
Albuquerque, NM 87107-5402

Mailing address

516 Barlane PL NW
Albuquerque, NM 87107-5402
Phone (505) 345-6616

Other identifiers 6

IdentifierTypeStateIssuer
000N6603MedicaidNM
NM100463OtherNMVALUE OPTIONS
268444OtherNMMANAGED HEALTH NETWORK
89512OtherNMCIGNA
NM00NK04OtherNMBLUE CROSS BLUE SHIELD
201007246OtherNMPRESBYTERIAN HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040528000778 NM Part B Supplier - Clinic/Group Practice 9537140041 Receives reassigned benefits from 1 practitioner
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628985600000",
    "number": "1619157278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 BARLANE PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075402",
            "telephone_number": "505-345-6616",
            "fax_number": "505-765-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 BARLANE PL NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871075402",
            "telephone_number": "505-345-6616",
            "fax_number": "505-765-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS NEMES PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-11",
        "last_updated": "2021-08-15",
        "certification_date": "2021-08-15",
        "status": "A",
        "authorized_official_last_name": "NEMES",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "505-345-6616",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NM",
            "license": "523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000N6603",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "NM100463",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "268444",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "89512",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NM00NK04",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH PLAN",
            "identifier": "201007246",
            "state": "NM"
        }
    ],
    "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 Aug 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.