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IDEAL SELF THERAPY LLC
NPI 1386447936
Psychologist - Clinical in Rio Rancho, NM

Active since March 29, 2025
720 8TH ST NE, RIO RANCHO, NM 87124(505) 226-2191 Get Directions Write a Review

NPPES record last updated: March 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ideal Self Therapy Llc NPPES

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

IDEAL SELF THERAPY LLC (NPI 1386447936) is a healthcare organization registered as a clinical in Rio Rancho, New Mexico and active in the NPI registry since March 2025. The organization lists Leah Bogusch, Owner, as its authorized official.

NPPES Registry Identity

NPI1386447936
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameIDEAL SELF THERAPY LLC
Location Address720 8TH ST NERio Rancho, NM 87124-0791
Mailing Address1209 Mountain Road Pl Ne Ste NAlbuquerque, NM 87110-7845
Phone(505) 226-2191
Organization SubpartNo
Authorized OfficialLeah BoguschOwner · (505) 226-2191
Enumeration DateMarch 29, 2025
NPPES CertifiedMarch 29, 2025
✔ NPI 1386447936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
720 8TH ST NE, Rio Rancho, NM 87124
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Ideal Self Therapy LLC's NPI number?

The NPI number for Ideal Self Therapy LLC is 1386447936. It was assigned to this organization in the NPPES registry on March 29, 2025.

Where is Ideal Self Therapy LLC located?

Ideal Self Therapy LLC is located at 720 8th St NE, Rio Rancho, NM 87124. The listed phone number is (505) 226-2191.

What is Ideal Self Therapy LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Ideal Self Therapy LLC was last updated on March 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.