Evelyn Plumb, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY1620 Issued in NM

Practice address

6121 Indian School Rd NE Ste 143
Albuquerque, NM 87110-3176

Phone

(505) 542-4970

Fax

(505) 213-6301

NPI assigned

Sep 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Desert Bloom Health Collaborative LLCGroup PAC ID 4688109671, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Desert Bloom Health Collaborative LLC

  dba Desert Bloom Health Collaborative

  • Psychiatry Physician
  • Albuquerque, NM
  • NPI 1851147060

  Counselor

  Medicare reassignment Care Compare group NPD
• Unm Hospital

  dba UNMH Psychiatric Unit

  • Psychiatric Hospital Unit
  • Albuquerque, NM
  • NPI 1447464664
  NPD (past)

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1619345022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1085",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875711085",
            "telephone_number": "707-367-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 INDIAN SCHOOL RD NE STE 143",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871103176",
            "telephone_number": "505-542-4970",
            "fax_number": "505-213-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMB",
        "first_name": "EVELYN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "PSY1620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "57578206",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teil R Plont, LMSW
• Jennifer Kara Ploss, P.T.
• Melissa Dawn Plotner, MA, CCC-SLP
• Collin Luke Plourde, PHARMD
• Susan Plourde, LIC. AC., DOM
• Plume Health PC
• Brittni Christiana Plumero, PHARMD, BCPS
• Mary Plumley
• Diane Plummer, SW
• Marybeth Plummer, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.