Organization Active NPI

Adobe Psychological Services PA

  • Community/Behavioral Health Agency
  • Albuquerque, NM
National Provider Identifier
1972965978
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0987 Issued in NM
Legal business name
ADOBE PSYCHOLOGICAL SERVICES PA
Practice address
1400 Carlisle Blvd NE
Suite 1
Albuquerque, NM 87110-5658
Phone
(505) 585-4331
NPI assigned
Mar 28, 2016
Last updated
Mar 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Dr. Jeanmarie Keim, PH.D., ABPPNPI 1366891228
Title
Psychologist Ceo
Phone
(505) 585-4331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0987 NM Primary

Addresses

Primary practice location

1400 Carlisle Blvd NE
Suite 1
Albuquerque, NM 87110-5658

Mailing address

PO Box 35128
Albuquerque, NM 87176-5128
Phone (505) 585-4331

National Provider Directory

National Provider Directory

Locations

1400 Carlisle Blvd NE
Ste 1
Albuquerque, NM 87110
Phone (505) 271-6630

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": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1972965978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35128",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871765128",
            "telephone_number": "505-585-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 CARLISLE BLVD NE",
            "address_2": "SUITE 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105658",
            "telephone_number": "505-585-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOBE PSYCHOLOGICAL SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "KEIM",
        "authorized_official_first_name": "JEANMARIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST CEO",
        "authorized_official_telephone_number": "505-585-4331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., ABPP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "0987",
            "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 Mar 24, 2017; 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.