Individual provider Active NPI

Ross William Davidson, MA, LMFT

  • Marriage & Family Therapist
  • Albuquerque, NM
National Provider Identifier
1912064908
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
005632 Issued in NM
Practice address
201 Eubank Blvd NE
Suite D-2B
Albuquerque, NM 87123-2759
Phone
(505) 363-8280
NPI assigned
Jan 2, 2007
Last updated
Jan 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 005632 NM Primary

Addresses

Primary practice location

201 Eubank Blvd NE
Suite D-2B
Albuquerque, NM 87123-2759

Mailing address

201 Eubank Blvd NE
Suite D-2B
Albuquerque, NM 87123-2759
Phone (505) 363-8280

Other identifiers 2

IdentifierTypeStateIssuer
06789OtherNMLOVELACE
201034829OtherNMPRESBYTERIAN

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
I20240423003780 NM Practitioner - Marriage and Family Therapist 5294174249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Enhancement Center, P.C.Group PAC ID 0648297499, 19 clinicians

Practice addresses (Care Compare)

3901 Georgia St NE
Suite A4
Albuquerque, NM 87110-1391
Phone (505) 891-1583

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
005632NMMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Enhancement Center, P.C. Marriage & Family Therapist CurrentSince Mar 13, 2024 Accepting new patients
Davidson Therapeutic Solutions LLC Marriage & Family Therapist Past Accepting new patients

Locations

3901 Georgia St NE
Ste A4
Albuquerque, NM 87110
Phone (505) 710-5188

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1912064908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 EUBANK BLVD NE",
            "address_2": "SUITE D-2B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871232759",
            "telephone_number": "505-363-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 EUBANK BLVD NE",
            "address_2": "SUITE D-2B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871232759",
            "telephone_number": "505-363-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "ROSS",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "005632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOVELACE",
            "identifier": "06789",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN",
            "identifier": "201034829",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.