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Contact Information

ROBERTS MEDICAL PSYCHOLOGY, INC.
2929 COORS BLVD NW
201H
ALBUQUERQUE, NM87120-1173
 Phone: 505-312-7070
 Fax: 310-553-5288
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prescribing (Medical)

103TP0016X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ROBERTS MEDICAL PSYCHOLOGY, INC.

NPI Number 1447579487
LBN Legal business name ROBERTS MEDICAL PSYCHOLOGY, INC.
Authorized official ALLAN ROBERTS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/28/2010
Last updated 09/29/2016 - About 10 years ago
Identifiers
CA License # PSY13524
NM License # 0043
NM License # 1255
CA Medicaid PSY135240
NM Medicaid 57053243
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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