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JORY MAZZOLA
NPI 1255537593
Psychiatry & Neurology - Child & Adolescent Psychiatry in Albuquerque, NM

Active since June 24, 2007PECOS EnrolledAccepts Medicare Assignment
2300 MENAUL BLVD NE, ALBUQUERQUE, NM 87107(505) 272-0322(505) 272-2014 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jory Mazzola NPPES

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

JORY MAZZOLA (NPI 1255537593) is an individual child & adolescent psychiatry provider in Albuquerque, New Mexico, licensed in New Mexico (MD2012-0122) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of University Of New Mexico School Of Medicine (2007).

NPPES Registry Identity

NPI1255537593
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameJORY MAZZOLA
Location Address2300 MENAUL BLVD NEAlbuquerque, NM 87107-1851
Mailing Address933 Bradbury Dr Se, Suite 2222Albuquerque, NM 87106-4374 · (505) 272-3120
Phone(505) 272-0322
Fax(505) 272-2014
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2007
Enumeration DateJune 24, 2007
Last NPPES UpdateMarch 22, 2017
✔ NPI 1255537593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in NM · MD2012-0122
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
2300 MENAUL BLVD NE, Albuquerque, NM 87107
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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

Jory Mazzola 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 ID6406082312
PECOS Enrollment IDI20150306000710, I20230815000435
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 20

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

DIANE KEISTER PHD
Psychologist
2300 MENAUL BLVD NE
ALBUQUERQUE, NM 87107
Bernalillo County (505) 272-3000
ALLAN ANFINSON
Pediatrics (Developmental - Behavioral Pediatrics)
2300 MENAUL BLVD NE
ALBUQUERQUE, NM 87107
Bernalillo County (505) 272-3000
THOMAS JACK BOXALL M.S., CCC-SLP
Speech-Language Pathologist
2300 MENAUL BLVD NE
ALBUQUERQUE, NM 87107
Bernalillo County (505) 272-3000
PATRICK R BLEVINS BCBA
Behavior Analyst
2300 MENAUL BLVD NE
ALBUQUERQUE, NM 87107
Bernalillo County (505) 272-2611
JOE DEBONIS LPCC
Counselor (Mental Health)
2300 MENAUL BLVD NE
ALBUQUERQUE, NM 87107
Bernalillo County (505) 272-3825
KRISTINE DOMINO
Speech-Language Pathologist
2300 MENAUL BLVD NE
ALBUQUERQUE, NM 87107
Bernalillo County (505) 272-0322
MIRNA NUNEZ APRN
Nurse Practitioner (Family)
2300 MENAUL BLVD NE
ALBUQUERQUE, NM 87107
Bernalillo County (505) 272-9339
DR. MARYBETH A. GRAHAM PH.D.
Psychologist
2300 MENAUL BLVD NE
ALBUQUERQUE, NM 87107
Bernalillo County (505) 272-0322

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 Jory Mazzola's NPI number?

The NPI number for Jory Mazzola is 1255537593. It was assigned to this individual provider in the NPPES registry on June 24, 2007.

Where is Jory Mazzola located?

Jory Mazzola practices at 2300 Menaul Blvd NE, Albuquerque, NM 87107. The listed phone number is (505) 272-0322.

What is Jory Mazzola's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Jory Mazzola enrolled in Medicare?

Yes. Jory Mazzola 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.

When was this NPI record last updated?

The NPPES record for Jory Mazzola was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.