ROBERT ERICSON, PHD (NPI# 1700069796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700069796 |
| Entity Type | Organization |
| Organization Name | ROBERT ERICSON, PHD |
| Practice Address |
6463 4th St Nw Suite C Los Ranchos De Albuquerque NM 87107-5810 |
| Practice Telephone | 5053449500 |
| Practice Fax Number | 5053421084 |
| Mailing Telephone | 5053449500 |
| Mailing Fax Number | 5053421084 |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2008-08-05 |
| Authorized Official Name | DR. ROBERT CHARLES ERICSON (PRESIDENT) |
| Authorized Official Telephone | 5052426672 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
239 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | BLUE CROSS BLUE SHIELD | NM00N206 | 01 |
| NM | N8396 | 05 |
| Street Address |
6463 4TH ST NW SUITE C |
| City | LOS RANCHOS DE ALBUQUERQUE |
| State | NM |
| Zip Code | 87107-5810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275547440 | Robert Charles Ericson | Psychologist | 6463 4th St Nw, Ste. C, Los Ranchos De Albuquerque, NM 87107-5810 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589785 | Benjamin Argant | Behavior Technician | 331 Candelaria Road North East Suite A, Albuquerque, NM 87107 | 2020-08-20 |
| 1679138861 | Susan Luna, Lpcc LLC | Counselor | 3221 B Candelaria Ne, Albuquerque, NM 87107 | 2019-05-03 |
| 1407310881 | Eleanor Cloe Tibbetts | Speech-Language Pathologist | 7103 4th St. Nw Chatterbox Speech Therapy, Los Ranchos, NM 87107 | 2019-01-30 |
| 1386174829 | Triple D Medical Transportation, LLC. | Secured Medical Transport (VAN) | 2123 Menaul Blvd Ne Ste B, Albuquerque, NM 87107 | 2017-06-18 |
| 1487100715 | Kayleen Weinandt | Community/Behavioral Health | 3301 Los Arboles Ne, Albuquerque, NM 87107 | 2016-08-28 |
| 1811345549 | Inverse Medical, LLC | Non-emergency Medical Transport (VAN) | 1015 Cottonwood Dr. Suite J, Albuquerque, NM 87107 | 2016-06-03 |
| 1710349220 | Evolv Strong, LLC | Specialist/Technologist | 3201 Candelaria Rd Ne, Albuquerque, NM 87107 | 2016-03-23 |
| 1982072443 | Erik Robinson | Social Worker | 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 | 2015-09-14 |
| 1033505763 | Sam Newmon Ma, Lpcc | Counselor | 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 | 2015-04-09 |
| 1760896203 | Jocelyn Fiaschetti | Social Worker | 7704 4th Street Nw, Albuquerque, NM 87107 | 2014-06-12 |
| Find all providers in zip 87107 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215332325 | A(plus) Educational Diagnostics | Psychologist | 11 Geronimo Lane, Arroyo Seco, NM 87514 | 2014-10-31 |
| 1639517659 | Sheila Annette Parker | Psychologist | 222 La Veta Dr Ne, Albuquerque, NM 87108-1615 | 2013-06-12 |
| 1699957480 | Kari Ward Karr | Psychologist | 12412 Menaul Blvd Ne, Albuquerque, NM 87112-2556 | 2007-12-03 |
| 1023059607 | Jeffrey Mark Schwehn | Psychologist | 4421 Los Arboles Dr, Las Cruces, NM 88011-0913 | 2006-06-08 |
| 1417235656 | Pilar M. Sanjuan, Ph.d. LLC | Psychologist | 9426 Indian School Rd Ne Ste 1, Behavior Therapy Associates, LLP, Albuquerque, NM 87112-2887 | 2011-07-21 |
| 1295990828 | Jane Ellen Smith | Psychologist | University of New Mexico, Psychology Dept., Msc03 2220, Albuquerque, NM 87131-0001 | 2008-07-23 |
| 1063677003 | Marcela Cecilia Acevedo | Psychologist | 2418 Miles Rd Se, Albuquerque, NM 87106-3224 | 2008-07-18 |
| 1710148630 | Creative Cognitive Therapy Productions | Psychologist | 1000 Gold Ave Sw, Albuquerque, NM 87102-2933 | 2008-06-23 |
| 1528281896 | Carole A. Mazurowski, Phd, Pa | Psychologist | 6565 Americas Pkwy Ne, Suite 200, Albuquerque, NM 87110-8116 | 2007-04-11 |
| 1316059314 | Zia Behavioral Health, LLP | Psychologist | 2504 Camino Entrada, Santa Fe, NM 87507-4851 | 2006-08-31 |
| Find all providers with the same taxonomy | ||||
| City | LOS RANCHOS DE ALBUQUERQUE |
| Zip Code | 87107 |
Please comment or provide details below to improve the information on ROBERT ERICSON, PHD.
| 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.