CARMEN MARTINEZ TITTMANN (NPI# 1740356377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740356377 |
Entity Type | Individual |
Full Name | CARMEN MARTINEZ TITTMANN |
Credential | MA LPCC LMSW |
Practice Address |
4686 Corrales Rd Corrales NM 87048 |
Mailing Address |
Po Box 3204 Corrales NM 87048 |
Practice Telephone | 5058903327 |
Practice Fax Number | 5058986327 |
Mailing Telephone | 5058903327 |
Mailing Fax Number | 5058986327 |
Enumeration Date | 2006-11-27 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 103G00000X | Clinical Neuropsychologist | 1587 | NM | Behavioral Health & Social Service Providers |
X | 104100000X | Social Worker | M2126 | NM | Behavioral Health & Social Service Providers |
X | 106H00000X | Marriage & Family Therapist | 1587 | NM | Behavioral Health & Social Service Providers |
Street Address |
4686 CORRALES RD |
City | CORRALES |
State | NM |
Zip Code | 87048 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871591834 | Kylee J Gordley-shurter | Counselor | 4686 Corrales Rd, Corrales, NM 87048-8610 | 2005-07-13 |
1548704083 | Ann Petersen Counseling | Counselor | 4686 Corrales Rd, Suite #3, Corrales, NM 87048-8610 | 2016-12-16 |
1952593808 | Dana Wilson Vanwestrienen | Counselor | 4686 Corrales Rd, Corrales, NM 87048-8610 | 2007-08-14 |
1679694947 | Theresa A. Kestly | Psychologist | 4686 Corrales Rd, Corrales, NM 87048-8610 | 2007-04-03 |
1871617134 | Laura Jill Ferrell | Psychologist | 4686 Corrales Rd, Corrales, NM 87048-8610 | 2007-03-19 |
1285770198 | Grambling Therapy Inc | Counselor | 4686 Corrales Rd, Corrales, NM 87048-8610 | 2007-01-29 |
1093865354 | Lisa Feierman | Psychiatry & Neurology | 4686 Corrales Rd, Suite 5e, Corrales, NM 87048-8610 | 2007-01-11 |
1629170790 | Ann Renee Petersen | Counselor | 4686 Corrales Rd, Corrales, NM 87048-8610 | 2006-09-01 |
1134239700 | Carol A. Brennan | Counselor | 4686 Corrales Rd, #4e, Corrales, NM 87048-8610 | 2006-08-30 |
1588686448 | Gail J Grambling Harrison | Counselor | 4686 Corrales Rd, Corrales, NM 87048-8610 | 2006-07-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154948081 | Designed Health Options, LLC | General Practice | 5065 Corrales Rd., Corrales, NM 87048 | 2020-06-26 |
1770102618 | Lisa Garcia | Technician | 148 West Valverde Rd., Corrales, NM 87048 | 2020-04-10 |
1841690732 | Erica Jacknin | Art Therapist | 100 Sherlock Ct, Corrales, NM 87048 | 2014-08-27 |
1821331182 | Celia Janet Larcom | Massage Therapist | 4650 Corrales Rd., Bldg. B, Corrales, NM 87048 | 2013-04-04 |
1740538693 | Angel Paths Therapy | Voluntary or Charitable | 817 West Ella, Corrales, NM 87048 | 2012-08-27 |
1013207356 | Meta, Inc. | Community/Behavioral Health | 4813 Corrales Road, Corrales, NM 87048 | 2011-04-07 |
1568602399 | Michael A Mauldin | Psychologist | 154 Anya Rd, Corrales, NM 87048 | 2009-03-06 |
1154568087 | Maria C Chavez | Counselor | 218 Broadway Ave, Abq, NM 87048 | 2009-01-14 |
1104073451 | Changing Life's Direction, LLC | Community/Behavioral Health | 4627 Corrales Rd., Corrales, NM 87048 | 2008-08-19 |
1467613604 | Natalie M Naranjo-rodriguez | Counselor | 20 Camino Vega Verde, Corrales, NM 87048 | 2008-06-20 |
Find all providers in zip 87048 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821370842 | Psychological Assessment & Treatment Center, LLC | Clinical Neuropsychologist | 4313 Corrales Rd, Corrales, NM 87048-8663 | 2011-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326677220 | Owen James Gaasedelen | Clinical Neuropsychologist | 2527 Wyoming Blvd Ne Ste A, Albuquerque, NM 87112-1039 | 2020-04-03 |
1720521859 | Inetmed Rx2 Inc. | Clinical Neuropsychologist | 3655 Research Drive, Building A, Las Cruces, NM 88003-1239 | 2016-11-21 |
1326446881 | Lynette M Abrams-silva | Clinical Neuropsychologist | 320 Gold Avenue Sw, Suite 1001, Albuquerque, NM 87102 | 2014-12-16 |
1437550415 | Robert Brock Frost | Clinical Neuropsychologist | 3400 Constitution Ave Ne, Suite C, Albuquerque, NM 87106-1242 | 2014-09-10 |
1205237344 | Eric H. Zimak | Clinical Neuropsychologist | Center for Neuropsychological Services, Msc 09 5030, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2014-09-09 |
1861824898 | Sandia Neuropsychology LLC | Clinical Neuropsychologist | 3400 Constitution Ne, Albuquerque, NM 87106 | 2013-08-01 |
1881033231 | Clinical, Forensic Neruopsychologist Associates of New Mexico | Clinical Neuropsychologist | 3228 Los Arboles Ave Ne, Bldg. 1-230, Albuquerque, NM 87107-1962 | 2013-06-19 |
1639433527 | Stephanie Ann Gorman | Clinical Neuropsychologist | Center for Neuropsychological, Msc09 5030-1 Unm, Albuquerque, NM 87131-0001 | 2012-06-26 |
1508142019 | Sharon Janice Kernen | Clinical Neuropsychologist | 9001 Galaxia Way Ne, Albuquerque, NM 87111-1440 | 2011-10-27 |
1780916130 | High Plains Neuropsychology Associates PC | Clinical Neuropsychologist | 1101 Douglas Ave, Las Vegas, NM 87701-3932 | 2010-02-10 |
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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.