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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

UPSTREAM NEUROPSYCHOLOGY & THERAPY SERVICES LLC
NPI 1104744655
Clinical Neuropsychologist in Farmington, NM

Active since July 09, 2026
210 N COURT AVE, FARMINGTON, NM 87401(505) 407-5852 Get Directions Write a Review

NPPES record added: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Upstream Neuropsychology & Therapy Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UPSTREAM NEUROPSYCHOLOGY & THERAPY SERVICES LLC (NPI 1104744655) is a healthcare organization registered as a clinical neuropsychologist in Farmington, New Mexico and active in the NPI registry since July 2026. The organization lists Charles Daniel Marquez, Owner/neuropsychologist, as its authorized official.

NPPES Registry Identity

NPI1104744655
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameUPSTREAM NEUROPSYCHOLOGY & THERAPY SERVICES LLC
Location Address210 N COURT AVEFarmington, NM 87401-6941
Mailing Address210 N Court AveFarmington, NM 87401-6941 · (505) 407-5852
Phone(505) 407-5852
Organization SubpartNo
Authorized OfficialCharles Daniel MarquezOwner/neuropsychologist · (505) 407-5852
Enumeration DateJuly 9, 2026
Last NPPES UpdateJuly 10, 2026
NPPES CertifiedJuly 10, 2026
✔ NPI 1104744655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X
210 N COURT AVE, Farmington, NM 87401
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Upstream Neuropsychology & Therapy Services LLC's NPI number?

The NPI number for Upstream Neuropsychology & Therapy Services LLC is 1104744655. It was assigned to this organization in the NPPES registry on July 9, 2026.

Where is Upstream Neuropsychology & Therapy Services LLC located?

Upstream Neuropsychology & Therapy Services LLC is located at 210 N Court Ave, Farmington, NM 87401. The listed phone number is (505) 407-5852.

What is Upstream Neuropsychology & Therapy Services LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Upstream Neuropsychology & Therapy Services LLC was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.