| Northern New Mexico Neuropsychology Llc | |
|
1911 5th St Ste 211 Santa Fe NM 87505-5403 | |
| (505) 490-9049 | |
| Not Available |
| Full Name | Northern New Mexico Neuropsychology Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1911 5th St Ste 211, Santa Fe, New Mexico |
| Authorized Official Name and Position | Lauren Parks (DIRECTOR) |
| Authorized Official Contact | 5054909049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern New Mexico Neuropsychology Llc 1911 5th St Ste 211 Santa Fe NM 87505-5403 Ph: (505) 490-9049 | Northern New Mexico Neuropsychology Llc 1911 5th St Ste 211 Santa Fe NM 87505-5403 Ph: (505) 490-9049 |
| NPI Number | 1487910402 |
|---|---|
| Provider Enumeration Date | 04/03/2012 |
| Last Update Date | 08/11/2016 |
| Medicare PECOS PAC ID | 2961833272 |
|---|---|
| Medicare Enrollment ID | O20200520001098 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487910402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 1183 (New Mexico) | Primary |
| 103TC0700X | Psychologist - Clinical | 1183 (New Mexico) | Secondary |
| Provider Name | Lauren K Parks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205125283 PECOS PAC ID: 9931372331 Enrollment ID: I20111031000592 |
| Provider Name | Jennifer G Monzones |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538578737 PECOS PAC ID: 2264654631 Enrollment ID: I20141119002258 |
Sangre De Cristo Community Health Partnership Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1441 S Saint Francis Dr, Santa Fe, NM 87505 Phone: 505-982-8870 Fax: 505-982-4480 | |
Youth Shelters Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5686 Agua Fria St, Santa Fe, NM 87507 Phone: 505-438-0502 Fax: 505-438-0504 | |
Carrie T. Ishee Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1519 Upper Canyon Rd, Santa Fe, NM 87501 Phone: 505-670-0686 | |
Vega Diagnostic & Consulting Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 29 Rito Guicu, Santa Fe, NM 87507 Phone: 505-235-4002 | |
Youth Shelters Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5686 Agua Fria St, Santa Fe, NM 87507 Phone: 505-983-0586 Fax: 505-424-0949 | |
Equest Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17661 Us 84/285, Santa Fe, NM 87506 Phone: 505-455-0555 Fax: 505-455-2237 | |
William Wengs, Md Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2009 Botulph Rd, Suite 500, Santa Fe, NM 87505 Phone: 505-986-2890 Fax: 505-986-2893 |