Organization Active NPI

Sandeen Mayer LLC

  • Clinical Psychologist
  • Albuquerque, NM
National Provider Identifier
1750722104
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
748 Issued in NM
Legal business name
SANDEEN MAYER LLC
Practice address
9426 Indian School Rd NE
Suite 1
Albuquerque, NM 87112-2886
Phone
(505) 345-6100
Fax
(505) 345-4531
NPI assigned
Jul 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Authorized official

Name
Dr. Evelyn Elaine Sandeen, PH.D.
Title
Psychologist, Partner in LLC
Phone
(505) 681-3925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 748 NM Primary

Addresses

Primary practice location

9426 Indian School Rd NE
Suite 1
Albuquerque, NM 87112-2886

Mailing address

9426 Indian School Rd NE
Suite 1
Albuquerque, NM 87112-2886
Phone (505) 345-6100

Other names 1

  • Behavior Therapy Associates Doing business as

National Provider Directory

National Provider Directory

Locations

9426 Indian School Rd NE
#R
Albuquerque, NM 87112
Phone (505) 345-6100

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1750722104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9426 INDIAN SCHOOL RD NE",
            "address_2": "SUITE 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122886",
            "telephone_number": "505-345-6100",
            "fax_number": "505-345-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9426 INDIAN SCHOOL RD NE",
            "address_2": "SUITE 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871122886",
            "telephone_number": "505-345-6100",
            "fax_number": "505-345-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDEEN MAYER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "SANDEEN",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PSYCHOLOGIST, PARTNER IN LLC",
        "authorized_official_telephone_number": "505-681-3925",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavior Therapy Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 15, 2013; 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.