Anchored Therapy LLC
Organization Active NPI Clinical Psychologist · Albuquerque, NM
NPI 1992562995 · NPPES record last updated Oct 2, 2024
Key facts
- NPI
- 1992562995
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- ANCHORED THERAPY LLC
- Practice address
- 2601 Wyoming Blvd NE Ste 116
Albuquerque, NM 87112-1000 - Phone
- (505) 633-0643
- NPI assigned
- Mar 5, 2024
- Organization subpart
- No
Authorized official
- Name
- Fernando Ortiz
- Title
- Credentialing Manager
- Phone
- (575) 707-8150
Practitioners 1
-
Katherine B. Hull, PSYD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241231003667 | NM | Part B Supplier - Clinic/Group Practice | 4688101777 |
Receives reassigned benefits from 1 practitioner Practice locations: Albuquerque, NM |
National Provider Directory
Locations
2601 Wyoming Blvd NE
Ste 116
Albuquerque, NM 87112
Phone (505) 633-0643
8226 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 413-3719
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes |
Addresses
Primary practice location
2601 Wyoming Blvd NE Ste 116
Albuquerque, NM 87112-1000
Mailing address
8226 Menaul Blvd NE # 623
Albuquerque, NM 87110-4614
Other providers in Albuquerque, NM
- Sanora J Anaya
- Theresa M. Anaya
- Vanessa Gail Anaya
- Anchor Behavioral Health LLC
- Anchor Point Care LLC
- Anchoring Light, Inc.
- Kristin Anchors
- Ancora Transition Services Inc
- And Me Therapy LLC
- Cynthia Andazola Quinones
All providers in Albuquerque, 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 Oct 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.