Chapla Assessment & Therapy Services, LLC
Organization Active NPI Clinical Psychologist · Albuquerque, NM
NPI 1841019908 · NPPES record last updated Oct 7, 2024
Key facts
- NPI
- 1841019908
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- CHAPLA ASSESSMENT & THERAPY SERVICES, LLC
- Practice address
- 2741 Indian School Rd NE Ste 104
Albuquerque, NM 87106-2653 - Phone
- (505) 532-3008
- NPI assigned
- Oct 7, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Brooke Alissa Chapla, PHD
- Title
- Ceo and Owner
- Phone
- (505) 532-3008
Practitioners 1
-
Brooke Alissa Chapla, PSY
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250207001498 | NM | Part B Supplier - Clinic/Group Practice | 7113457052 |
Receives reassigned benefits from 1 practitioner Practice locations: Albuquerque, NM |
National Provider Directory
Locations
2741 Indian School Rd NE
Ste 104
Albuquerque, NM 87106
Phone (505) 532-3008
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes | ||
| Clinical Child & Adolescent Psychologist |
103TC2200X | |||
| Intellectual & Developmental Disabilities Psychologist |
103TM1800X |
Addresses
Primary practice location
2741 Indian School Rd NE Ste 104
Albuquerque, NM 87106-2653
Mailing address
2741 Indian School Rd NE Ste 104
Albuquerque, NM 87106-2653
Phone (505) 532-3008
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY1635 | Other | NM | STATE LICENSURE |
Other providers in Albuquerque, NM
- Chantry Dialysis, LLC
- Conrad Russell Chao
- Judy Chao
- Luke Wei Bo Chao
- Eugene Anthony Chapa
- Brooke Alissa Chapla
- Charles Edward Chapman
- Margaret Chapman
- Niels Chapman
- Pamela Anne Statler Chapman
All providers in Albuquerque, 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 Oct 7, 2024. 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.