DR. RYAN ALEXANDER MALS (NPI# 1265828214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265828214 |
| Entity Type | Individual |
| Full Name | DR. RYAN ALEXANDER MALS |
| Credential | M.D. |
| Practice Address |
8312 Kaseman Ct Ne Albuquerque NM 87110-7639 |
| Mailing Address |
Po Box 26666 Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 5052915300 |
| Mailing Telephone | 5059236770 |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2020-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
MD2020-0800 | NM | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | RS2015-0505 | NM | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 University of New Mexico, Msc09 5030, Albuquerque, NM 871310001 | 5052728244 |
| Street Address |
8312 KASEMAN CT NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-7639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568442135 | Jeffrey Raymond Mitchell | Psychiatry & Neurology | 8312 Kaseman Ct Ne, Presbyterian, Outpatient Child Bh Clinic, Albuquerque, NM 87110-7639 | 2006-01-19 |
| 1700193075 | Natalya Gail Nelson | Counselor | 8312 Kaseman Ct Ne, Albuquerque, NM 87110-7639 | 2010-09-08 |
| 1023251055 | Kara Dawn Martinez | Psychiatry & Neurology | 8312 Kaseman Ct Ne, Albuquerque, NM 87110-7639 | 2009-04-06 |
| 1629196712 | Elizabeth Hope Latu | Psychologist | 8312 Kaseman Ct Ne, Albuquerque, NM 87110-7639 | 2007-03-27 |
| 1275627648 | Donald P Flammer | Psychologist | 8312 Kaseman Ct Ne, Pmg Kaseman Behavioral Medicine, Albuquerque, NM 87110-7639 | 2006-10-03 |
| 1265526651 | Walter Rosett | Internal Medicine | 8312 Kaseman Ct Ne, Pmg Kaseman Adult Healthcare, Albuquerque, NM 87110-7639 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699948489 | Marcello Argeo Maviglia | Psychiatry & Neurology | 1336 Lafayette Dr Ne, Albuquerque, NM 87106-1123 | 2008-04-11 |
| 1306089313 | Paul E Romo | Psychiatry & Neurology | Msc 09 5030, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2009-04-07 |
| 1578685723 | Bellelizabeth Foster | Psychiatry & Neurology | 1 University of New Mexico, Msc09, Albuquerque, NM 87131-0001 | 2007-04-06 |
| 1922159953 | Claire E Wilcox | Psychiatry & Neurology | 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770739526 | Edgar Arnold Jones | Psychiatry & Neurology | 2121 Foothills Rd, Santa Fe, NM 87505-4526 | 2008-08-12 |
| 1922171123 | Gregory K Baca | Psychiatry & Neurology | 464 Central Ave, Suite 4, Los Alamos, NM 87544-3350 | 2006-11-16 |
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on DR. RYAN ALEXANDER MALS.
| 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.