Active NPI
Charlene McIver, PH.D.
- Psychologist
- Albuquerque, NM
National Provider Identifier
1659384683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 259
- Practice address
- 4801 Indian School Rd NE
Suite 200
Albuquerque, NM 87110-3970 - Phone
- (505) 256-1021
- Fax
- (505) 268-7442
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 259 | NM | Primary |
Addresses
Primary practice location
4801 Indian School Rd NE
Suite 200
Albuquerque, NM 87110-3970
Mailing address
2424 Morrow Rd NE
Albuquerque, NM 87106-2520
Phone (505) 265-0642
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N9139 | Medicaid | NM |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 259 | NM | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659384683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2424 MORROW RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871062520",
"telephone_number": "505-265-0642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 INDIAN SCHOOL RD NE",
"address_2": "SUITE 200",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871103970",
"telephone_number": "505-256-1021",
"fax_number": "505-268-7442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCIVER",
"first_name": "CHARLENE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NM",
"license": "259",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N9139",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.