MARK HENRY PEDROTTY PHD
NPI 1205843265
Psychologist in Albuquerque, NM

Active since August 02, 2006PECOS EnrolledAccepts Medicare Assignment
3200 CARLISLE BLVD NE STE 224, ALBUQUERQUE, NM 87110(505) 688-0601 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mark Henry Pedrotty Phd NPPES

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

MARK HENRY PEDROTTY PHD (NPI 1205843265) is an individual psychologist in Albuquerque, New Mexico, licensed in New Mexico (732) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1205843265
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMARK HENRY PEDROTTYCredential: PHD
Location Address3200 CARLISLE BLVD NE STE 224Albuquerque, NM 87110-1664
Mailing Address3029 Delano Pl NeAlbuquerque, NM 87106-2034 · (505) 688-0601
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateAugust 2, 2006
Last NPPES UpdateOctober 6, 2022
NPPES CertifiedOctober 6, 2022
✔ NPI 1205843265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in NM · 732
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 732 (NM)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X · License 732 (NM)
3200 CARLISLE BLVD NE STE 224, Albuquerque, NM 87110

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark Henry Pedrotty Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587741087
PECOS Enrollment IDI20080408000718
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mark Pedrotty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rehabilitation
3200 CARLISLE BLVD NE STE 224
Albuquerque, NM 87110
  • Reassigned Medicare billing, New Mexico enrollment
Multi-Specialty
2211 LOMAS NE
Albuquerque, NM 87106
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,105 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Rehabilitation)
3200 CARLISLE BLVD NE STE 224
ALBUQUERQUE, NM 87110

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 Mark Pedrotty's NPI number?

The NPI number for Mark Pedrotty is 1205843265. It was assigned to this individual provider in the NPPES registry on August 2, 2006.

Where is Mark Pedrotty located?

Mark Pedrotty practices at 3200 Carlisle Blvd NE Ste 224, Albuquerque, NM 87110. The listed phone number is (505) 688-0601.

What is Mark Pedrotty's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Mark Pedrotty enrolled in Medicare?

Yes. Mark Pedrotty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mark Pedrotty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Pedrotty reassigns Medicare benefits to 2 organizations: Brain & Body Rehabilitation Psychotherapy LLC (Albuquerque, NM) and Unm Medical Group Inc (Albuquerque, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Pedrotty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mark Pedrotty was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.