LIZA C MERMELSTEIN PHD LLC (NPI# 1710387105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710387105 |
| Entity Type | Organization |
| Organization Name | LIZA C MERMELSTEIN PHD LLC |
| Practice Address |
9426 Indian School Rd Ne Suite 1 Albuquerque NM 87112-2886 |
| Practice Telephone | 5053456100 |
| Practice Fax Number | 5053454531 |
| Mailing Telephone | 5053456100 |
| Mailing Fax Number | 5053454531 |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |
| Authorized Official Name | LIZA CHYTILO MERMELSTEIN (MANAGING MEMBER) |
| Authorized Official Telephone | 6077689640 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1347 | NM | Behavioral Health & Social Service Providers |
| Street Address |
9426 INDIAN SCHOOL RD NE SUITE 1 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87112-2886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376502310 | Thomas Luigi Dimperio | Psychologist | 9426 Indian School Rd Ne, Suite 2, Albuquerque, NM 87112-2886 | 2006-03-20 |
| 1073922761 | Meagan Parmley LLC | Psychologist | 9426 Indian School Rd Ne, Albuquerque, NM 87112-2886 | 2014-08-06 |
| 1750722104 | Sandeen Mayer LLC | Psychologist | 9426 Indian School Rd Ne, Suite 1, Albuquerque, NM 87112-2886 | 2013-07-15 |
| 1699065391 | Rae A. Littlewood, Phd, LLC | Psychologist | 9426 Indian School Rd Ne, Suite 1, Albuquerque, NM 87112-2886 | 2011-04-14 |
| 1447447701 | Betsy J Davis Ph D PC | Psychologist | 9426 Indian School Rd Ne, Suite 1, Albuquerque, NM 87112-2886 | 2007-10-01 |
| 1902091622 | Phoenix Group-psychiatry and Psychotherapy Specialists, Ltd | Psychologist | 9426 Indian School Rd Ne, #2, Albuquerque, NM 87112 | 2007-09-06 |
| 1033309711 | Meagan C Parmley | Psychologist | 9426 Indian School Rd Ne, Albuquerque, NM 87112-2886 | 2007-07-28 |
| 1679775076 | Liza Chytilo Mermelstein | Psychologist | 9426 Indian School Rd Ne, Suite 1, Albuquerque, NM 87112-2886 | 2007-06-05 |
| 1962532648 | Bobby N. Holstead, Phd, LLC | Psychologist | 9426 Indian School Rd Ne, Suite 1, Albuquerque, NM 87112-2887 | 2007-03-06 |
| 1639222698 | Betsy J Davis | Psychologist | 9426 Indian School Rd Ne, Ste. 1, Albuquerque, NM 87112-2886 | 2007-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999411 | Lynn Eileen Riley | Counselor | 10205 Stovall Pl Ne, Albuquerque, NM 87112 | 2019-08-30 |
| 1548818222 | Cindy D Montoya | Technician | 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 | 2019-08-27 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| 1316416837 | New Beginning Counseling Services Inc | Counselor | 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 | 2018-11-14 |
| 1306365929 | Calyx Institute LLC | Social Worker | 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 | 2017-09-14 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1508303140 | Makena Bailey Nash | Behavior Technician | 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 | 2017-01-20 |
| 1477978906 | Albert R Toya | Massage Therapist | 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 | 2014-02-20 |
| 1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
| Find all providers in zip 87112 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144844747 | Ellen Soisson | Psychologist | 11005 Spain Rd Ne Ste 8, Albuquerque, NM 87111-1871 | 2020-05-31 |
| 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 |
| 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 |
| 1982076402 | Sally Eden Moretti | Psychologist | 5920 Canyon Vista Dr Ne, Albuquerque, NM 87111-6621 | 2015-10-23 |
| 1881087526 | Aaron Joyce, Ph.d., LLC | Psychologist | 3532 Anderson Ave. Se, Albuquerque, NM 87106 | 2015-03-05 |
| 1073903506 | Samardzija Psychological Center | Psychologist | 12900 Sandia Point Rd Ne, Albuquerque, NM 87111-8198 | 2015-02-04 |
| 1679974943 | Sage Behavioral Health Center | Psychologist | 2929 Coors Blvd Nw Ste 100d, Albuquerque, NM 87120-1272 | 2014-09-05 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87112 |
Please comment or provide details below to improve the information on LIZA C MERMELSTEIN PHD 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.