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DR. MINDY JITMANOWAN PSY
NPI 1316372501
Psychologist - Clinical in Albuquerque, NM

Active since September 06, 2013PECOS Enrolled
83.84/100
CMS Quality Rating
8300 CONSTITUTION AVE NE, BLDG D, ALBUQUERQUE, NM 87110(505) 291-2402 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 20, 2021, Nov 16, 2020 (2 updates tracked since 2020).

About Dr. Mindy Jitmanowan Psy NPPES

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

DR. MINDY JITMANOWAN PSY (NPI 1316372501) is an individual clinical provider in Albuquerque, New Mexico, licensed in New Mexico (PSY1623) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Presbyterian Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1316372501
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MINDY JITMANOWANCredential: PSY
Location Address8300 CONSTITUTION AVE NE, BLDG DAlbuquerque, NM 87110-7613
Mailing AddressPo Box 26666, Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-6770
Phone(505) 291-2402
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 6, 2013
Last NPPES UpdateMay 20, 20212 updates tracked since enumeration
NPPES CertifiedMay 20, 2021
✔ NPI 1316372501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NM · PSY1623
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
8300 CONSTITUTION AVE NE, Albuquerque, NM 87110
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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 (PECOS)

Dr. Mindy Jitmanowan Psy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294146304
PECOS Enrollment IDI20201120002231
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
34 services34 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
34 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Presbyterian Hospital

Acute Care Hospitals · Albuquerque, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320021
Location1100 Central Avenue SEAlbuquerque, NM 87106 · Bernalillo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.80 typical visit price
range $54.26 – $166.80
Typical copayment $41.70 (range $13.56 – $41.70)
Most-billed visit code 99205
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

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.

ANNE JONES MD
Family Medicine
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 272-2700
MRS. MEGHAN LYNNE WHEELER DPT
Physical Therapist
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 291-2372
SANDESH DEWAN MD
Internal Medicine
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 291-2000
MRS. KAREN SPIELBUSCH CFNP
Nurse Practitioner
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 559-6100
JOSEPH J SIEBENTHAL CNP
Nurse Practitioner
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 291-2200
AMBER R FRANCIA LCSW
Social Worker (Clinical)
8300 CONSTITUTION AVE NE, CLINICAL LIAISONS
ALBUQUERQUE, NM 87110
Bernalillo County (505) 291-2134
NEIL I KAMINSKY MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
8300 CONSTITUTION AVE NE, PMG AT 8300 CONSTITUTION POB
ALBUQUERQUE, NM 87110
Bernalillo County (505) 559-6400
DR. MARIA KATHERINE SAMARAS PH.D.
Psychologist (Clinical Child & Adolescent)
8300 CONSTITUTION AVE NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 559-6100

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 Mindy Jitmanowan's NPI number?

The NPI number for Mindy Jitmanowan is 1316372501. It was assigned to this individual provider in the NPPES registry on September 6, 2013.

Where is Mindy Jitmanowan located?

Mindy Jitmanowan practices at 8300 Constitution Ave NE Bldg D, Albuquerque, NM 87110. The listed phone number is (505) 291-2402.

What is Mindy Jitmanowan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mindy Jitmanowan enrolled in Medicare?

Yes. Mindy Jitmanowan is registered in the Medicare PECOS enrollment system.

Is Mindy Jitmanowan affiliated with any hospitals?

According to CMS data, Mindy Jitmanowan is affiliated with Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Mindy Jitmanowan was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.