Individual provider Active NPI

Maria Guadalupe Merino Gomez

  • Behavior Analyst
  • Albuquerque, NM
National Provider Identifier
1851838080
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
10320 Cottonwood Park NW Ste a
Albuquerque, NM 87114-7008
Phone
(505) 250-5204
NPI assigned
Jan 25, 2017
Last updated
Sep 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X NU
Behavior Analyst 103K00000X 1-20-42822 NM
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

10320 Cottonwood Park NW Ste a
Albuquerque, NM 87114-7008

Mailing address

524 Cole Springs Dr SW
Albuquerque, NM 87121-7691
Phone (505) 577-1352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1851838080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 COLE SPRINGS DR SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871217691",
            "telephone_number": "505-577-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 COTTONWOOD PARK NW STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871147008",
            "telephone_number": "505-250-5204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERINO GOMEZ",
        "first_name": "MARIA",
        "middle_name": "GUADALUPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NM",
            "license": "1-20-42822",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 18, 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.