Individual provider Active NPI

Ronald A Yeo, PH.D.

  • Clinical Neuropsychologist
  • Albuquerque, NM
National Provider Identifier
1649303132
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
335 Issued in NM
Practice address
2201 San Pedro Dr NE
Building 1, Suite 215
Albuquerque, NM 87110-4133
Phone
(505) 889-0426
Fax
(505) 883-7304
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 335 NM Primary

Addresses

Primary practice location

2201 San Pedro Dr NE
Building 1, Suite 215
Albuquerque, NM 87110-4133

Mailing address

2201 San Pedro Dr NE
Building 1, Suite 215
Albuquerque, NM 87110-4133
Phone (505) 889-0426

Other identifiers 1

IdentifierTypeStateIssuer
201011047OtherNMPRESBYTERIAN HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
335NMMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychology Associates PC Clinical Neuropsychologist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1649303132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 SAN PEDRO DR NE",
            "address_2": "BUILDING 1, SUITE 215",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104133",
            "telephone_number": "505-889-0426",
            "fax_number": "505-883-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 SAN PEDRO DR NE",
            "address_2": "BUILDING 1, SUITE 215",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104133",
            "telephone_number": "505-889-0426",
            "fax_number": "505-883-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEO",
        "first_name": "RONALD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NM",
            "license": "335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH PLAN",
            "identifier": "201011047",
            "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 Jul 7, 2008; 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.