COPPER KEY PSYCHOLOGY, LLC (NPI# 1053835710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053835710 |
| Entity Type | Organization |
| Organization Name | COPPER KEY PSYCHOLOGY, LLC |
| Other Organization Name | SALLY EDEN MORETTI, PSY.D. |
| Practice Address |
5920 Canyon Vista Dr Ne Albuquerque NM 87111-6621 |
| Practice Telephone | 5059331807 |
| Practice Fax Number | 5058561614 |
| Mailing Telephone | 5059331807 |
| Mailing Fax Number | 5058561614 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | DR. SALLY EDEN MORETTI (OWNER/PSYCHOLOGIST) |
| Authorized Official Telephone | 5059331807 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
1395 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 12226203 | 05 | |
| NPI TYPE 1 - INDIVIDUAL | 1982076402 | 01 |
| Other Name | Type Code |
|---|---|
| Sally Eden Moretti, Psy.D. | Doing Business As Name - Organization |
| Street Address |
5920 CANYON VISTA DR NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87111-6621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982076402 | Sally Eden Moretti | Psychologist | 5920 Canyon Vista Dr Ne, Albuquerque, NM 87111-6621 | 2015-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438110 | Dehlen LLC | Counselor | 11000 Spain Rd Ne, Building E, Albuquerque, NM 87111 | 2018-08-22 |
| 1003313008 | Jessika Junick | Nurse Practitioner | 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 | 2018-04-07 |
| 1881113454 | Hayley Aragon-bell | Day Training/Habilitation Specialist | 3732 Mount Rainier Dr. Ne, Albuquerque, NM 87111 | 2017-09-14 |
| 1750803326 | Sarah Mckenzie Ochoa | Day Training/Habilitation Specialist | 3916 Garcia St Ne, Albuquerque, NM 87111 | 2017-07-14 |
| 1285179549 | Family Dental Health Care | Dentist | 4550 Eubank Blvd, Suite 203, Albuquerque, NM 87111 | 2016-12-22 |
| 1871036202 | Shobha Jagannath | Nurse Practitioner | 10700 Academy Rd Ne Apt 216, Albuquerque, NM 87111 | 2016-12-03 |
| 1508319310 | Mariana Boitano | Licensed Practical Nurse | 5400 Gibson Blvd., Albuquerque, NM 87111 | 2016-07-28 |
| 1184011082 | Adam Halpern | Specialist/Technologist | 4204 Parsifal St, Albuquerque, NM 87111 | 2015-04-20 |
| 1083015770 | Cvs Pharmacy | Public Health or Welfare | 5516 Camino Arbustos Ne, Albuquerque, NM 87111 | 2014-09-12 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in zip 87111 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447873757 | Healing Pathways Psychotherapy | Clinic/Center | 315 Alameda Blvd Ne, Albuquerque, NM 87113-1569 | 2020-05-20 |
| 1184246902 | Avenidas Nuevas Counseling LLC | Clinic/Center | 324 Cornell Dr Se, Albuquerque, NM 87106-5513 | 2020-05-14 |
| 1437783529 | Telemental Health Link LLC | Clinic/Center | Telemental Health Link LLC, 5700 Harper Dr Ne, #27, Albuquerque, NM 87109-3573 | 2020-02-27 |
| 1255963898 | New Haven Behavioral Health Services LLC | Clinic/Center | 2900 Louisiana Blvd Ne Ste C1, Albuquerque, NM 87110-3576 | 2020-02-11 |
| 1730736505 | Bonni Amsden LLC | Clinic/Center | 200 Rosemont Ave Ne Suite C, Albuquerque, NM 87102-6171 | 2019-08-26 |
| 1124591490 | New Growth Counseling LLC | Clinic/Center | 2901 Juan Tabo Blvd Ne Ste 101c, Albuquerque, NM 87112-1886 | 2019-01-09 |
| 1902340607 | A New Path Counseling | Clinic/Center | 10417 San Jacinto Ave Ne, Albuquerque, NM 87112-5341 | 2016-12-14 |
| 1598000721 | Neuromental Health Services, Inc | Clinic/Center | 711 Encino Pl Ne Ste F, Albuquerque, NM 87102-2649 | 2012-11-28 |
| 1740428879 | Cynthia Sontag, Lisw, PC | Clinic/Center | 1300 Lomas Blvd Nw, Albuquerque, NM 87104-1234 | 2009-01-28 |
| 1477193118 | Blue Mesa Psychiatry and Counseling LLC | Clinic/Center | 7007 Wyoming Blvd Ne Ste F1, Albuquerque, NM 87109-3983 | 2020-01-10 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87111 |
Please comment or provide details below to improve the information on COPPER KEY PSYCHOLOGY, LLC.
| 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.