Active NPI
Eric Mason Westfried, PH.D.
- Clinical Neuropsychologist
- Albuquerque, NM
National Provider Identifier
1669646659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 641
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 337229601 | Other | NM | MEDICARE, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1943 | CO | MD | Clinical Neuropsychologist |
| 641 | NM | MD | Clinical 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
- Western Dermatology Consultants PC
- Brenna Western, MOT,OTR/L
- Chyna Westfall, RN
- David Thomas Westfall
- Lisa A Westfall, OT
- Amy Kathryn Westmoreland, FNP-C, DNP
- Mikaela Westmoreland
- Nicolette Westphal, D.O.M.
- Elizabeth Westrick, PA-C
- Westside Acupuncture & Massage LLC (Westside Herbs, Acupuncture and Massage)
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.