MARK HENRY PEDROTTY


Address: 1127 University Blvd Ne, Carrie Tingley Hospital, Albuquerque, NM 87102-1740
Phone: 5052725551

MARK HENRY PEDROTTY (NPI# 1205843265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205843265
Entity Type Individual
Full Name MARK HENRY PEDROTTY
Credential PHD
Practice Address 1127 University Blvd Ne
Carrie Tingley Hospital
Albuquerque
NM 87102-1740
Mailing Address 1127 University Blvd Ne
Msc09 5030
Albuquerque
NM 87102-1740
Practice Telephone 5052725551
Mailing Telephone 5052725551
Enumeration Date 2006-08-02
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 732 NM Behavioral Health & Social Service Providers

Office Location

Street Address 1127 UNIVERSITY BLVD NE
CARRIE TINGLEY HOSPITAL
City ALBUQUERQUE
State NM
Zip Code 87102-1740

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831191378 Caroline Cook Physician Assistant 1127 University Blvd Ne, Albuquerque, NM 87102-1740 2005-08-15
1912518770 Megan Tess Baker Nurse Practitioner 1127 University Blvd Ne, Albuquerque, NM 87102-1740 2020-08-13
1790248078 Brittney Shae Letourneau Student in an Organized Health Care Education/Training Program 1127 University Blvd Ne, Albuquerque, NM 87102-1740 2019-04-12
1114480423 Ella Lee Dolan Student in an Organized Health Care Education/Training Program 1127 University Blvd Ne, Albuquerque, NM 87102-1740 2019-04-12
1760944946 Nathan Giles Student in an Organized Health Care Education/Training Program 1127 University Blvd Ne, Albuquerque, NM 87102-1740 2019-04-04
1447712278 Justin Marshall Hessinger Student in an Organized Health Care Education/Training Program 1127 University Blvd Ne, Albuquerque, NM 87102-1740 2019-04-01
1003377979 Shauna Thariath Student in an Organized Health Care Education/Training Program 1127 University Blvd Ne, Albuquerque, NM 87102-1740 2019-03-25
1447714217 Lorena Galvan Student in an Organized Health Care Education/Training Program 1127 University Blvd Ne, Albuquerque, NM 87102-1740 2019-01-25
1235613696 Cole Tyler Linzmeyer Student in an Organized Health Care Education/Training Program 1127 University Blvd Ne, Albuquerque, NM 87102-1715 2018-09-21
1750801296 Morgan Leigh Day Student in an Organized Health Care Education/Training Program 1127 University Blvd Ne, Albuquerque, NM 87102-1740 2017-06-26
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
1043640493 Kristin Lichtle Psychologist 906 Franciscan St Ne, Albuquerque, NM 87102-2416 2013-11-22
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
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Competitor

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City ALBUQUERQUE
Zip Code 87102

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Dataset Information

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.

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