Tomas R. Granados, Psy.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

702 Issued in NM

Legal business name

TOMAS R. GRANADOS, PSY.D.

Practice address

7000 Jefferson St NE
Albuquerque, NM 87109-4313

Phone

(505) 797-0810

Fax

(505) 797-0814

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Tomas Refugio Granados, PSY.D.NPI 1538372479

Title

Owner

Phone

(505) 797-0810

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 2

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

• Tomas Refugio Granados, PSY.D.

  • Clinical Neuropsychologist
  • Albuquerque, NM
  • NPI 1538372479
  Medicare reassignment NPD Authorized official
• Leah A Rudnick, MD

  • Psychiatry Physician
  • Albuquerque, NM
  • NPI 1972518439
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246924800000",
    "number": "1861606246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93874",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871993874",
            "telephone_number": "505-797-0810",
            "fax_number": "505-797-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 JEFFERSON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094313",
            "telephone_number": "505-797-0810",
            "fax_number": "505-797-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMAS R. GRANADOS, PSY.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2009-07-07",
        "status": "A",
        "authorized_official_last_name": "GRANADOS",
        "authorized_official_first_name": "TOMAS",
        "authorized_official_middle_name": "REFUGIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-797-0810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NM",
            "license": "702",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "702",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL PSYCHOLOGY",
            "identifier": "201011548",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S8524",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL PSYCHOLOGY",
            "identifier": "NM00JP49",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Tom, DNP FNP-C
• Nickie Tom
• Toma Barre Consultancy Group
• Stephany Ann Toman, D.O.M.
• Abhishek Tomar, MBBS, MD
• Letitia Tomaszewski
• Deneen Tomayko, MS, PA-C
• Ashley Tomba, M.S., CCC-SLP
• Valerie Lynne Tomberlin, LPCC
• Jennifer L Tomlin, PHD

• Clinical Neuropsychologist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Neuropsychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.