Kristina Rynes Ph.d. Llc | |
122 Tulane Dr Se Ste 4 Albuquerque NM 87106-1468 | |
(505) 750-8462 | |
(505) 349-5013 |
Full Name | Kristina Rynes Ph.d. Llc |
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Speciality | Clinic/Center |
Location | 122 Tulane Dr Se Ste 4, Albuquerque, New Mexico |
Authorized Official Name and Position | Kristina Rynes (PRESCRIBING PSYCHOLOGIST) |
Authorized Official Contact | 5057508462 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kristina Rynes Ph.d. Llc 8810 Vidal Rd Sw Albuquerque NM 87105-7826 Ph: (505) 750-8462 | Kristina Rynes Ph.d. Llc 122 Tulane Dr Se Ste 4 Albuquerque NM 87106-1468 Ph: (505) 750-8462 |
NPI Number | 1710543475 |
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Provider Enumeration Date | 05/17/2019 |
Last Update Date | 02/04/2023 |
Certification Date | 02/04/2023 |
Medicare PECOS PAC ID | 0446586390 |
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Medicare Enrollment ID | O20190730002577 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710543475 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Kristina N Rynes |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1164848289 PECOS PAC ID: 1850519182 Enrollment ID: I20140828002128 |
Integrated Healthcare Of New Mexico Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7632 William Moyers Ave Ne, Albuquerque, NM 87122 Phone: 505-554-1716 Fax: 505-792-5222 | |
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