NPIMap

Organization Active NPI

Neuropsychology Associates PC

  • Clinical Neuropsychologist
  • Albuquerque, NM
National Provider Identifier
1689792921
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
NEUROPSYCHOLOGY ASSOCIATES PC
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 26, 2007
Organization subpart
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

Authorized official

Name
Stephen J Chiulli, PH.D.NPI 1245363878
Title
President -Neuropsychologist
Phone
(505) 889-0426

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 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 5

IdentifierTypeStateIssuer
201011047OtherNMPRESBYTERIAN HEALTH PLAN
NM00NB60OtherNMBLUE CROSS
7395OtherNMLOVELACE HEALTH PLAN
201001748OtherNMPRESBYTERIAN HEALTH PLAN
7395OtherNMCIGNA

National Provider Directory

National Provider Directory

Locations

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

2201 San Pedro Dr NE
Bldg 1
Albuquerque, NM 87110
Phone (505) 889-0426

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1689792921",
    "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": {
        "organization_name": "NEUROPSYCHOLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "CHIULLI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT -NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "505-889-0426",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH PLAN",
            "identifier": "201011047",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "NM00NB60",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE HEALTH PLAN",
            "identifier": "7395",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH PLAN",
            "identifier": "201001748",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7395",
            "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.