MARTIN ANCONA LLC (NPI# 1437713062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437713062 |
| Entity Type | Organization |
| Organization Name | MARTIN ANCONA LLC |
| Practice Address |
224 Anthony Dr Anthony NM 88021-9366 |
| Practice Telephone | 2146621791 |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | MARTIN ANCONA (PH.D) |
| Authorized Official Telephone | 2146621791 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
224 ANTHONY DR |
| City | ANTHONY |
| State | NM |
| Zip Code | 88021-9366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689237380 | Bianca Lopez, LLC | Nurse Practitioner | 224 Anthony Dr, Anthony, NM 88021-9366 | 2019-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456041 | Ashley Marie Vasquez | Social Worker | 6301 Nm Highway28, Anthony, NM 88021 | 2020-08-07 |
| 1043705890 | Albrighton Pharmacy | Pharmacy | 401 Anthony Dr Ste E, Anthony, NM 88021 | 2018-06-25 |
| 1023524261 | Roxana Mercado | Counselor | 785 Anthony Dr, Anthony, NM 88021 | 2017-12-26 |
| 1689034662 | La Clinica De Familia, Inc. | Clinic/Center | 6301 Nm Highway 28, Anthony, NM 88021 | 2016-03-03 |
| 1336558360 | Anahi Marquez | Social Worker | 92 Shrode Road, Anthony, NM 88021 | 2014-08-04 |
| 1649692211 | Michael Torres | Case Manager/Care Coordinator | 3150 Anthony Rd Hwy 460, Anthony, NM 88021 | 2014-01-15 |
| 1396167243 | Laura Ceniceros | Case Manager/Care Coordinator | 80 Dos Amigos Road, Anthony, NM 88021 | 2014-01-13 |
| 1174951834 | La Frontera Center Inc. Dba La Frontera New Mexico Inc | Clinic/Center | 880 N. Main St, Suite 3a, Anthony, NM 88021 | 2013-10-16 |
| 1689930133 | Oscar Artiaga | Public Health or Welfare | 414 St Anthony St, Serenity Counseling, Anthony, NM 88021 | 2012-04-10 |
| 1609145291 | Maria R Diaz | Behavioral Analyst | 399 San Antonio St., Anthony, NM 88021 | 2011-12-28 |
| Find all providers in zip 88021 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467599456 | Patrick Kaye Quinn | Psychologist | 855 Anthony Dr, Anthony, NM 88021-9325 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003424383 | Ciara Hansen | Psychologist | Us- 491, Shiprock, NM 87420 | 2020-07-22 |
| 1386269025 | Mindy Gutow | Psychologist | 7013 Rio Grande Blvd Nw, Los Ranchos, NM 87107-6423 | 2020-06-09 |
| 1144844747 | Ellen Soisson | Psychologist | 11005 Spain Rd Ne Ste 8, Albuquerque, NM 87111-1871 | 2020-05-31 |
| 1629639729 | Meditelecare of New Mexico, LLC | Psychologist | 206 S Coronado Ave, Espanola, NM 87532-2792 | 2019-06-28 |
| 1124584313 | Mark Simpson Psyd Mac Ladc LLC | Psychologist | 2920 Carlisle Blvd Ne Ste G, Albuquerque, NM 87110-2867 | 2019-02-13 |
| 1548775414 | Julie Brovko | Psychologist | 215 Gold Ave Sw Ste 202, Albuquerque, NM 87102-3364 | 2017-12-13 |
| 1487169850 | Erika Milena Guzman | Psychologist | 1509 Luz De Sol Dr Se, Rio Rancho, NM 87124-8727 | 2017-12-07 |
| 1134633498 | Evan Espinosa | Psychologist | 933 Bradbury Dr. Se, Suite 2222, Albuquerque, NM 87106-4374 | 2017-11-24 |
| 1982113205 | Diana Bennett | Psychologist | 1501 San Pedro Dr Se # Mc116, Albuquerque, NM 87108-5153 | 2017-09-29 |
| 1518411297 | Emily Kathryn Andrews | Psychologist | 1001 Yale Boulevard Ne, Albuquerque, NM 87131-1830 | 2016-08-10 |
| Find all providers with the same taxonomy | ||||
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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.