NPIMap

Organization Active NPI

Clinical, Forensic Neruopsychologist Associates of New Mexico

  • Clinical Neuropsychologist
  • Albuquerque, NM
National Provider Identifier
1881033231
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
1130 Issued in NM
Legal business name
CLINICAL, FORENSIC NERUOPSYCHOLOGIST ASSOCIATES OF NEW MEXICO
Practice address
3228 Los Arboles Ave NE
BLDG. 1-230
Albuquerque, NM 87107-1962
Phone
(505) 331-2829
Fax
(505) 821-3365
NPI assigned
Jun 19, 2013
Last updated
Jun 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Dr. Sharon Kernen, PH.D.NPI 1508142019
Title
Department of Health Provider
Phone
(505) 263-8055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 1130 NM Primary

Addresses

Primary practice location

3228 Los Arboles Ave NE
BLDG. 1-230
Albuquerque, NM 87107-1962

Mailing address

3228 Los Arboles Ave NE
BLDG. 1-230
Albuquerque, NM 87107-1962
Phone (505) 331-2829

National Provider Directory

National Provider Directory

Locations

3228 Los Arboles Ave NE
Bldg 1230
Albuquerque, NM 87107
Phone (505) 331-2829

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1881033231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3228 LOS ARBOLES AVE NE",
            "address_2": "BLDG. 1-230",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071962",
            "telephone_number": "505-331-2829",
            "fax_number": "505-821-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 LOS ARBOLES AVE NE",
            "address_2": "BLDG. 1-230",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071962",
            "telephone_number": "505-331-2829",
            "fax_number": "505-821-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL, FORENSIC NERUOPSYCHOLOGIST ASSOCIATES OF NEW MEXICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "KERNEN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "DEPARTMENT OF HEALTH PROVIDER",
        "authorized_official_telephone_number": "505-263-8055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NM",
            "license": "1130",
            "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 Jun 19, 2013; 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.