Carl B Adams, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

N297 Issued in NM

Practice address

3509 Panicum Rd NW
Albuquerque, NM 87120-4918

Phone

(505) 883-8984

NPI assigned

Dec 10, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Brain Injury Association of New Mexico

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Albuquerque, NM
  • NPI 1689339855

  Clinical

  NPD (past)

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1689903296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67049",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871937049",
            "telephone_number": "505-883-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 PANICUM RD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871204918",
            "telephone_number": "505-883-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "CARL",
        "middle_name": "B",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "N297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N9134",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee Adam
• M. Elisa Adames, APRN-BC
• Alexis Raechelle Adams
• Andrea Adams
• Billie Elizabeth Adams, DDS
• Elaine Adams, DC
• Gabrielle Adams, M.D.
• Jessica M Adams
• Kari Lane Adams, APRN
• Kathleen Adams, MS

• All providers in Albuquerque, NM
• Clinical Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.