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: July 19, 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, and ordering and referring status from the CMS PECOS system.

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.

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

The NPI number assigned to this healthcare provider is 1205843265, enumerated as an "individual" on August 02, 2006.

The provider is located at 3200 CARLISLE BLVD NE STE 224 ALBUQUERQUE, NM 87110 and the phone number is (505) 688-0601.

Psychologist with taxonomy code 103T00000X.