Adams Bejarano, LLC
Organization Active NPI Clinical Psychologist · Santa Fe, NM
NPI 1801993480 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1801993480
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 729 (NM)
- Legal business name
- ADAMS BEJARANO, LLC
- Practice address
- 453 Cerrillos Rd
Santa Fe, NM 87501-3784 - Phone
- (505) 690-4797
- Fax
- (505) 989-8683
- NPI assigned
- Sep 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. James Harrison Adams, PHD
- Title
- Owner Member
- Phone
- (505) 690-4797
Practitioners 3
-
James H Adams, PHD
-
Robert Glanz, PH.D.
-
Robert Weisz, PHD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061229000317 | NM | Part B Supplier - Clinic/Group Practice | 2062412877 |
Receives reassigned benefits from 1 practitioner Practice locations: Santa Fe, NM |
National Provider Directory
Locations
1807 2nd St
Ste 20
Santa Fe, NM 87505
Phone (505) 603-2409
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | 729 | NM | Yes |
Addresses
Primary practice location
453 Cerrillos Rd
Santa Fe, NM 87501-3784
Mailing address
PO Box 31428
Santa Fe, NM 87594-1428
Phone (505) 690-4797
Other names
- J. Harrison Adams, PhD
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All providers in Santa Fe, NM · Clinical Psychologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.