Individual provider Active NPI

Eric Mason Westfried, PH.D.

  • Clinical Neuropsychologist
  • Albuquerque, NM
National Provider Identifier
1669646659
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
641 Issued in NM
Practice address
215 Gold Ave SW
Suite #202
Albuquerque, NM 87102-3300
Phone
(505) 242-4401
Fax
(505) 243-2776
NPI assigned
Apr 22, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 641 NM Primary
Clinical Neuropsychologist 103G00000X 1943 CO

Addresses

Primary practice location

215 Gold Ave SW
Suite #202
Albuquerque, NM 87102-3300

Mailing address

215 Gold Ave SW
Suite #202
Albuquerque, NM 87102-3300
Phone (505) 242-4401

Other identifiers 1

IdentifierTypeStateIssuer
337229601OtherNMMEDICARE, PART B

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
1943COMDClinical Neuropsychologist
641NMMDClinical Neuropsychologist

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1669646659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 GOLD AVE SW",
            "address_2": "SUITE #202",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023300",
            "telephone_number": "505-242-4401",
            "fax_number": "505-243-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 GOLD AVE SW",
            "address_2": "SUITE #202",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023300",
            "telephone_number": "505-242-4401",
            "fax_number": "505-243-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTFRIED",
        "first_name": "ERIC",
        "middle_name": "MASON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NM",
            "license": "641",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "1943",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE, PART B",
            "identifier": "337229601",
            "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 Apr 22, 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.