Dynamic Therapy Services of Northern New Mexico

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

DYNAMIC THERAPY SERVICES OF NORTHERN NEW MEXICO

Practice address

1300 Luisa St Ste 7
Santa Fe, NM 87505-4177

Phone

(505) 636-6550

NPI assigned

Jan 2, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Greenberg, PSYDNPI 1902275365

Title

Owner/Director

Phone

(505) 636-6550

Specialties & licenses 1

Addresses

Other names 1

• The Center for Dynamic Practice Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Greenberg, PSY.D.

  • Clinical Psychologist
  • Santa Fe, NM
  • NPI 1902275365
  NPD Authorized official

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1992418370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 VERANO LOOP",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875088827",
            "telephone_number": "505-629-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 LUISA ST STE 7",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054177",
            "telephone_number": "505-636-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC THERAPY SERVICES OF NORTHERN NEW MEXICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2022-12-31",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "505-636-6550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Dynamic Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth C. Dyer, CRNA
• Kristi A Dyer, LMT
• Megan Faye Dyer, LMT
• Shannon Dyke, PHARM.D.
• Lisa Dykes-Harrell, MA, LPCC, RPT-S
• James Eagle
• Sandra J Earl, M.A. L.P.C.C.
• Susan Diane Earls, PA-C
• Early Childhood Education & Care Department - FFB
• Earnest Therapy LLC

• Counseling Psychologist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Counseling Psychologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; 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.