CARMEN MARTINEZ TITTMANN


Address: 4686 Corrales Rd, Corrales, NM 87048
Phone: 5058903327

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 4686 CORRALES RD
City CORRALES
State NM
Zip Code 87048

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821370842 Psychological Assessment & Treatment Center, LLC Clinical Neuropsychologist 4313 Corrales Rd, Corrales, NM 87048-8663 2011-09-15

Providers in the same taxonomy and state

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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Competitor

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City CORRALES
Zip Code 87048

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Dataset Information

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.

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