| Cognitive Behavioral Institute | |
|
1 San Rafael Avenue Ne Albuquerque NM 87122 | |
| (505) 823-1600 | |
| (505) 823-1161 |
| Full Name | Cognitive Behavioral Institute |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 San Rafael Avenue Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Bradford C. Richards (DOCTOR/OWNER) |
| Authorized Official Contact | 5058231600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognitive Behavioral Institute 1 San Rafael Avenue Ne Albuquerque NM 87122 Ph: (505) 823-1600 | Cognitive Behavioral Institute 1 San Rafael Avenue Ne Albuquerque NM 87122 Ph: (505) 823-1600 |
| NPI Number | 1609979608 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 10/20/2009 |
| Medicare PECOS PAC ID | 0446397855 |
|---|---|
| Medicare Enrollment ID | O20091016000174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609979608 | NPI | - | NPPES |
| 2473804 | Medicaid | NM | |
| 24738034 | Medicaid | NM |
| Provider Name | Bradford C Richards |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114031820 PECOS PAC ID: 2264490085 Enrollment ID: I20041228000108 |
| Provider Name | Matthew T Sewell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235467010 PECOS PAC ID: 4082993977 Enrollment ID: I20161117000063 |
| Provider Name | Duyen B Vo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659812246 PECOS PAC ID: 6507141736 Enrollment ID: I20170330000368 |
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