Benjamin H Carter, PH.D.
Individual provider Active NPI Clinical Psychologist · Kirtland Afb, NM
NPI 1962784686 · NPPES record last updated Mar 30, 2021
Key facts
- NPI
- 1962784686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 1852 (AL)
- Practice address
- 2050A 2ND Street SE
Kirtland Afb, NM 87117 - Phone
- (505) 846-3305
- NPI assigned
- Sep 20, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1852 | AL | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1852 | AL | Yes |
Addresses
Primary practice location
2050A 2ND Street SE
Kirtland Afb, NM 87117
Mailing address
2050A 2ND Street SE
Kirtland Afb, NM 87117
Phone (505) 846-3305
Other providers in Kirtland Afb, NM
- James Curtis Bloom
- Chadwyck R Bradley
- Emily Shawn Bransford
- Tina Yvette Bryant
- Todd Burbach
- Michael Carvajal
- Brant Evin Casteel
- Rodney Vernon Chandler
- Thomas F Clarke
- Carolynn Ann Claussen
All providers in Kirtland Afb, NM · Clinical Psychologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.