SUZETTE L SANDOVAL (NPI# 1023441300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023441300 |
| Entity Type | Individual |
| Full Name | SUZETTE L SANDOVAL |
| Credential | EDS |
| Practice Address |
5323 Menaul St Ne Albuquerque NM 87176 |
| Mailing Address |
1735 Griegos Rd Nw Albuquerque NM 87107-3336 |
| Practice Telephone | 5058893412 |
| Mailing Telephone | 5052284619 |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
279940 | NM | Behavioral Health & Social Service Providers |
| Street Address |
5323 MENAUL ST NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043755002 | Themis Training and Consulting LLC | Social Worker | 2505 Graceland Ne #35104, Albuquerque, NM 87176 | 2016-12-30 |
| 1841661535 | Chris Martinez | Contractor | 2505 Graceland Dr Ne Unit 35104, Albuquerque, NM 87176-7606 | 2015-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952228 | Toshiyuki Shiina | Student in an Organized Health Care Education/Training Program | Unmh Hospital, 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-06 |
| 1215538343 | Victoria Lopez | Behavior Technician | 1015 Pinatubo Pl Nw, Albuquerque, NM 87120-2974 | 2020-11-04 |
| 1790386977 | Gina D Padilla | Home Health | 1307 San Pedro Dr Ne, Albuquerque, NM 87110-6727 | 2020-11-04 |
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1598366080 | Maya Mascarenas | Behavior Technician | 516 Madeira Dr Se Apt 3, Albuquerque, NM 87108-2971 | 2020-11-03 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1831790419 | Alisa Maria Salazar | Behavior Technician | 9610 Arvada Ave Ne, Albuquerque, NM 87112-2912 | 2020-11-02 |
| 1548861065 | Darren Anzures | Behavior Technician | 10004 Benavides Rd Sw, Albuquerque, NM 87121-8126 | 2020-11-02 |
| 1962003517 | Megan Aileen Rafferty | Counselor | 1564 Trujillo Rd. S.w., Albuquerque, NM 87105-2857 | 2020-11-02 |
| 1598366056 | Katherine Imislund-clark, Lpcc | Psychologist | 122 Girard Blvd Se Apt B, Albuquerque, NM 87106-2286 | 2020-11-02 |
| Find all providers in ALBUQUERQUE | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164949780 | Christine S. Park | Psychologist | 6020 Constitution Ave Ne Ste 4, Albuquerque, NM 87110-5931 | 2017-08-24 |
| 1710254719 | Ann Branscum | Psychologist | Unm Health Sciences Center, Psychiatry/behavioral Sci., Msc009-5030, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2011-11-19 |
| 1053507608 | Bonnie Stetson | Psychologist | 9434 Rio Grande Blvd Nw, Albuquerque, NM 87114-1813 | 2007-09-18 |
| 1235335225 | William James Huddleston | Psychologist | 5321-a Menaul, Ne, Albuquerque, NM 87110 | 2007-06-26 |
| 1316425416 | Christine Hazard Phillips | Psychologist | 6020 Constitution Ave Ne Ste 4, Albuquerque, NM 87110-5931 | 2018-07-31 |
| 1619411311 | Emily Mathis | Psychologist | 6020 Constitution Ave Ne, Suite 4, Albuquerque, NM 87110-5900 | 2016-12-14 |
| 1760932479 | Christina Horvath | Psychologist | 6020 Constitution Ave Ne, Albuquerque, NM 87110-5900 | 2016-10-05 |
| 1588065577 | Laura De Azevedo | Psychologist | 6020 Constitution Ave Ne, Suite 4, Albuquerque, NM 87110-5900 | 2014-09-09 |
| 1942559927 | Michael W. Baxter | Psychologist | 5200 Copper Ave Ne, Albuquerque, NM 87108-1473 | 2012-09-05 |
| 1417262668 | Tiffany Richie | Psychologist | 5200 Copper Ave Ne, Albuquerque, NM 87108-1473 | 2010-08-12 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87176 |
Please comment or provide details below to improve the information on SUZETTE L SANDOVAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.