Active NPI
Kristina Rynes PH.D. LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Albuquerque, NM
National Provider Identifier
1710543475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- KRISTINA RYNES PH.D. LLC
- Practice address
- 122 Tulane Dr SE Ste 4
Albuquerque, NM 87106-1468 - Phone
- (505) 750-8462
- Fax
- (505) 349-5013
- NPI assigned
- May 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kristina Rynes, PHD
- Title
- Prescribing Psychologist
- Phone
- (505) 750-8462
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
122 Tulane Dr SE Ste 4
Albuquerque, NM 87106-1468
Mailing address
8810 Vidal Rd SW
Albuquerque, NM 87105-7826
Phone (505) 750-8462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3500 Comanche Rd NE
Ste 21
Albuquerque, NM 87107
Phone (505) 750-8462
122 Tulane Dr SE
Ste 4
Albuquerque, NM 87106
Phone (505) 750-8462
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prescribing (Medical) Psychologist
- Albuquerque, NM
- NPI 1164848289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675468800000",
"number": "1710543475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8810 VIDAL RD SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871057826",
"telephone_number": "505-750-8462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 TULANE DR SE STE 4",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871061468",
"telephone_number": "505-750-8462",
"fax_number": "505-349-5013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRISTINA RYNES PH.D. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-17",
"last_updated": "2023-02-04",
"certification_date": "2023-02-04",
"status": "A",
"authorized_official_last_name": "RYNES",
"authorized_official_first_name": "KRISTINA",
"authorized_official_title_or_position": "PRESCRIBING PSYCHOLOGIST",
"authorized_official_telephone_number": "505-750-8462",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Feb 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.