KRISTIN LICHTLE (NPI# 1043640493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043640493 |
| Entity Type | Individual |
| Full Name | KRISTIN LICHTLE |
| Credential | MA, LLP, PA |
| Practice Address |
906 Franciscan St Ne Albuquerque NM 87102-2416 |
| Mailing Address |
22749 California St Saint Clair Shores MI 48080-3826 |
| Practice Telephone | 5055888207 |
| Mailing Telephone | 5055888207 |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PA-1478 | NM | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 6301015077 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 22749 California St, Saint Clair Shores, MI 480803826 | 2487035237 |
| Street Address |
906 FRANCISCAN ST NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124637541 | Behavioral Medicine and Assessment of New Mexico LLC | Psychologist | 3520 Calle Cuervo Nw, Albuquerque, NM 87114-9220 | 2020-07-31 |
| 1194287649 | Jennifer Nicole Crawford | Psychologist | Msc09 5030 1 Unm, Albuquerque, NM 87131 | 2019-04-03 |
| 1417425083 | Meredith Lynn Faith | Psychologist | 11109 Elvin Ave Ne, Albuquerque, NM 87112-3231 | 2018-11-12 |
| 1942695903 | Md24 Nm, Inc. | Psychologist | 6565 Americas Parkway Ne #200, Albuquerque, NM 87110 | 2015-04-06 |
| 1932507365 | Reflections Psychological Services, LLC | Psychologist | 3939 San Pedro Dr Ne Bldg C8, Albuquerque, NM 87110-8901 | 2014-12-17 |
| 1457772147 | Candyce Tart | Psychologist | 607 Richmond Dr Ne, Albuquerque, NM 87106-2148 | 2013-12-23 |
| 1104160910 | Mike Kim | Psychologist | 2900 Louisiana Boulevard Northeast, Suite C1, Albuquerque, NM 87110 | 2012-11-16 |
| 1134473762 | Joseph R Flippo | Psychologist | 2104 Rex Ct Ne, Albuquerque, NM 87112-3661 | 2012-11-05 |
| 1659638195 | Elizabeth Ann-claire Sullivan | Psychologist | 4701 Morris St Ne Apt 601, Albuquerque, NM 87111-7715 | 2012-04-23 |
| 1912275124 | Dr Osvelia G Deeds LLC | Psychologist | 5203 Juan Tabo Blvd Ne Ste 2b, Albuquerque, NM 87111-2691 | 2011-12-02 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
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| 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.