Individual provider Active NPI

Daniel Kerlinsky, MD

  • Child & Adolescent Psychiatry Physician
  • Albuquerque, NM
National Provider Identifier
1740381268
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
84-204 Issued in NM
Practice address
7007 Wyoming NE Suite E-3
Albuquerque, NM 87109
Phone
(505) 884-0112
Fax
(505) 828-1385
NPI assigned
Sep 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 84-204 NM Primary

Addresses

Primary practice location

7007 Wyoming NE Suite E-3
Albuquerque, NM 87109

Mailing address

7007 Wyoming NE Suite E-3
Albuquerque, NM 87109
Phone (505) 884-0112

Other identifiers 1

IdentifierTypeStateIssuer
30692MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040911000302 NM Practitioner - PsychiatryPractitioner - Osteopathic Manipulative Medicine 4981671765 Practice locations: Albuquerque, NM

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Osteopathic Manipulative Medicine
Education
Tufts University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7007 Wyoming Blvd NE
Suite E3
Albuquerque, NM 87109-3983

7007 Wyoming NE
Suite 3
Albuquerque, NM 87109-3983
Phone (505) 884-0112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
84-204NMMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740381268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 WYOMING NE SUITE E-3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-884-0112",
            "fax_number": "505-828-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 WYOMING NE SUITE E-3",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-884-0112",
            "fax_number": "505-828-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERLINSKY",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NM",
            "license": "84-204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30692",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.