Individual provider Active NPI

Rex Jung, PHD

  • Clinical Neuropsychologist
  • Albuquerque, NM
National Provider Identifier
1801802558
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
0880 Issued in NM
Practice address
1300 Central Ave SW
Albuquerque, NM 87102-2805
Phone
(505) 243-0335
Fax
(505) 216-2623
NPI assigned
Aug 1, 2006
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 0880 NM Primary

Addresses

Primary practice location

1300 Central Ave SW
Albuquerque, NM 87102-2805

Mailing address

1300 Central Ave SW
Albuquerque, NM 87102-2805
Phone (505) 243-0335

Other practice location 1

900 Camino De Salud NE
Albuquerque, NM 87131-0001
Phone (505) 243-0335

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UNMH@direct.health.unm.edu

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040427000571 NM Practitioner - Clinical Psychologist 9335136944 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of New Mexico School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brain and Behavioral Associates, PCGroup PAC ID 2365616018, 4 clinicians

Practice addresses (Care Compare)

1300 Central Ave SW
Albuquerque, NM 87102-2805
Phone (505) 243-0335

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0880NMMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Unm Medical Group, Inc. CurrentSince Jul 1, 2007 Accepting new patients
Brain and Behavioral Associates, PC CurrentSince Aug 4, 2011 Accepting new patients
Unm Hospital CurrentSince Aug 20, 2024 Accepting new patients
Unm Hospital CurrentSince Aug 20, 2024 Accepting new patients
Unm Medical Group Inc CurrentSince Jul 1, 2007 Accepting new patients
Unm Hospital Past Accepting new patients
Rachelle Mechenbier LLC PastSince Sep 6, 2024 Accepting new patients

Locations

1014 Lomas Blvd NW
Albuquerque, NM 87102
Phone (505) 243-0355

1300 Central Ave SW
Albuquerque, NM 87102
Phone (505) 243-0335

2600 Marble Ave NE
Albuquerque, NM 87106
Phone (505) 272-2800

900 Camino de Salud NE
Albuquerque, NM 87131
Phone (505) 272-4443

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

2300 Menaul Blvd NE
Los Rnchs Abq, NM 87107
Phone (505) 272-3000

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1801802558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CENTRAL AVE SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022805",
            "telephone_number": "505-243-0335",
            "fax_number": "505-216-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CENTRAL AVE SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022805",
            "telephone_number": "505-243-0335",
            "fax_number": "505-216-2623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Camino De Salud NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-243-0335",
            "fax_number": "505-216-2623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNG",
        "first_name": "REX",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NM",
            "license": "0880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UNMH@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "2211 Lomas Blvd NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871062719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.