Individual provider Active NPI

Rory Tyne Newlands, PH.D.

  • Clinical Psychologist
  • Albuquerque, NM
National Provider Identifier
1881346765
Registry record updated Jan 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY1709 Issued in NM
Practice address
217 Wellesley Dr SE
Albuquerque, NM 87106-1419
Phone
(505) 400-8463
NPI assigned
Jan 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY1709 NM Primary

Addresses

Primary practice location

217 Wellesley Dr SE
Albuquerque, NM 87106-1419

Mailing address

217 Wellesley Dr SE
Albuquerque, NM 87106-1419
Phone (505) 400-8463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220228000310 NM Practitioner - Clinical Psychologist 7315331824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Pueblo Health Services, IncGroup PAC ID 9739170697, 11 clinicians

Practice addresses (Care Compare)

121 Calle del Preidente
Bernalillo, NM 87004-6091

121 Calle del Presidente
Bernalillo, NM 87004-6091
Phone (505) 867-2324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
El Pueblo Health Services, Inc CurrentSince Nov 1, 2024 Accepting new patients
El Pueblo Health Services, Inc CurrentSince Nov 1, 2024 Accepting new patients

Locations

121 Calle del Presidente
Bernalillo, NM 87004
Phone (505) 867-2324

Interoperability endpoints

  • Direct secure messaging: rory.newlands.1@30308.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/30308/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642809600000",
    "number": "1881346765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 WELLESLEY DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061419",
            "telephone_number": "505-400-8463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 WELLESLEY DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061419",
            "telephone_number": "505-400-8463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWLANDS",
        "first_name": "RORY",
        "middle_name": "TYNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-22",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "PSY1709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.