ABQ PRIMARY PSYCHIATRY, LLC (NPI# 1710520291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710520291 |
| Entity Type | Organization |
| Organization Name | ABQ PRIMARY PSYCHIATRY, LLC |
| Practice Address |
4308 Carlisle Blvd Ne Albuquerque NM 87107-4856 |
| Practice Telephone | 5052032837 |
| Mailing Telephone | 5052032837 |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |
| Authorized Official Name | BARRY SCHOOLEY (NURSE PRACTITIONER) |
| Authorized Official Telephone | 5052032837 |
| Authorized Official Credential | CNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
4308 CARLISLE BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87107-4856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902893688 | Joan B Scott | Psychologist | 4308 Carlisle Blvd Ne, Ste 210, Albuquerque, NM 87107-4856 | 2005-09-29 |
| 1215304654 | Michelle Reyner | Physical Therapist | 4308 Carlisle Blvd Ne, Albuquerque, NM 87107-4856 | 2015-09-01 |
| 1841523586 | Bonnie Crusalis | Counselor | 4308 Carlisle Blvd Ne, #210, Albuquerque, NM 87107-4856 | 2009-09-14 |
| 1538281720 | Donna A Kotilainen | Contractor | 4308 Carlisle Blvd Ne, Suite 205, Albuquerque, NM 87107-4856 | 2007-04-06 |
| 1437277670 | Danuta Jolanta Marshall | Physical Therapist | 4308 Carlisle Blvd Ne, Suite 209, Albuquerque, NM 87107-4856 | 2007-03-26 |
| 1376669333 | Valerie Lynne Tomberlin | Counselor | 4308 Carlisle Blvd Ne, #206, Albuquerque, NM 87107-4856 | 2007-03-22 |
| 1548304777 | Brynn Rene Castanon | Speech-Language Pathologist | 4308 Carlisle Blvd Ne, Albuquerque, NM 87107-4856 | 2007-02-19 |
| 1144369208 | Sallie Roxanne Roe | Occupational Therapist | 4308 Carlisle Blvd Ne, Suite 209, Albuquerque, NM 87107-4856 | 2007-02-05 |
| 1225176092 | Yvonne Kathryn Armijo | Occupational Therapy Assistant | 4308 Carlisle Blvd Ne, Ste. 209, Albuquerque, NM 87107-4856 | 2007-02-02 |
| 1114071610 | Michelle Bunzel | Physical Therapist | 4308 Carlisle Blvd Ne, Suite 209, Albuquerque, NM 87107-4856 | 2007-01-22 |
| Find all providers in the same location | ||||
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760033153 | Avd Healthcare, LLC | Clinic/Center | 3107 Eubank Blvd Ne Ste 1, Albuquerque, NM 87111-4845 | 2019-09-26 |
| 1619451994 | Abqhealthcare2you | Clinic/Center | 8609 Hampton Ave Ne, Albuquerque, NM 87122-2638 | 2018-09-21 |
| 1972038917 | Pa Medical Rehab Center LLC | Clinic/Center | 2900 Louisiana Blvd Ne Ste H, Albuquerque, NM 87110-3565 | 2017-04-27 |
| 1093075277 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 400 Marquette Ave Nw, City Hall Bldg., Basement B-06, Albuquerque, NM 87102-2147 | 2012-05-22 |
| 1285958199 | Bentzco, LLC | Clinic/Center | 3777 The American Rd Nw, Albuquerque, NM 87114-1338 | 2010-03-22 |
| 1386190916 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 3101 Menaul Blvd Ne, Suite B, Albuquerque, NM 87107-1872 | 2016-09-01 |
| 1053765511 | Linda Romero Pa | Clinic/Center | 500 Marquette Ave Nw, Suite 1200, Albuquerque, NM 87102-5340 | 2016-04-20 |
| 1780067876 | Eastern Hills Health & Wellness LLC | Clinic/Center | 5800 Mcleod Rd Ne, Suite C, Albuquerque, NM 87109-2454 | 2015-07-07 |
| 1558792986 | Acc Health | Clinic/Center | 901 Lamberton Pl Ne Ste W, Albuquerque, NM 87107-1659 | 2013-12-11 |
| 1659709947 | Carmelita Hendrick | Clinic/Center | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2013-10-23 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87107 |
Please comment or provide details below to improve the information on ABQ PRIMARY PSYCHIATRY, 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.