Sun & Moon Psychological Services LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SUN & MOON PSYCHOLOGICAL SERVICES LLC

Practice address

12760 San Rafael Ave NE Ste D
Albuquerque, NM 87122-1133

Phone

(505) 221-6611

NPI assigned

Jan 9, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Samantha Russell, PHDNPI 1780204404

Title

Psychologist

Phone

(505) 221-6611

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Samantha C Russell

  • Clinical Psychologist
  • Albuquerque, NM
  • NPI 1780204404
  NPD Authorized official

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1760196489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 TENNYSON ST NE APT 3103",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871118204",
            "telephone_number": "970-471-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12760 SAN RAFAEL AVE NE STE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871221133",
            "telephone_number": "505-221-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN & MOON PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-07",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "505-221-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.sunandmoonpsychotherapy.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "n/a",
            "address_1": "12760 San Rafael Ave NE Ste D",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871221133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen Monroe Summers, DOM
• William Koopmans Summers, MD
• Erica Summy, LMSW
• Michelle Lynn Sumner, B.S.
• Wendell Weston Sumner, D.O.
• Sun Country Healthcare Network
• Chia Ling Sun
• Chun-Xiao Sun, DMD,MS,MSD,PHD
• Gwen Y Sun, MD
• Jerry Sun

• Psychologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.