NORTHERN NEW MEXICO NEUROPSYCHOLOGY LLC
NPI 1487910402
Clinical Neuropsychologist in Santa Fe, NM

Active since April 03, 2012
1911 5TH ST STE 211, SANTA FE, NM 87505(505) 490-9049 Get Directions Write a Review

NPPES record last updated: August 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northern New Mexico Neuropsychology Llc NPPES

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

NORTHERN NEW MEXICO NEUROPSYCHOLOGY LLC (NPI 1487910402) is a healthcare organization registered as a clinical neuropsychologist in Santa Fe, New Mexico and active in the NPI registry since April 2012. The organization lists Lauren Parks, Director, as its authorized official.

NPPES Registry Identity

NPI1487910402
Entity TypeOrganization
Primary Taxonomy103G00000X
Legal Business NameNORTHERN NEW MEXICO NEUROPSYCHOLOGY LLC
Location Address1911 5TH ST STE 211Santa Fe, NM 87505-5403
Mailing Address1911 5th St Ste 211Santa Fe, NM 87505-5403 · (505) 490-9049
Organization SubpartNo
Authorized OfficialLauren ParksDirector · (505) 490-9049
Enumeration DateApril 3, 2012
Last NPPES UpdateAugust 11, 2016
NPI 1487910402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in NM · 1183
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 1183 (NM)
1911 5TH ST STE 211, Santa Fe, NM 87505

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Clinical Neuropsychologist
1911 5TH ST STE 211
SANTA FE, NM 87505

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 Northern New Mexico Neuropsychology LLC's NPI number?

The NPI number for Northern New Mexico Neuropsychology LLC is 1487910402. It was assigned to this organization in the NPPES registry on April 3, 2012.

Where is Northern New Mexico Neuropsychology LLC located?

Northern New Mexico Neuropsychology LLC is located at 1911 5th St Ste 211, Santa Fe, NM 87505. The listed phone number is (505) 490-9049.

What is Northern New Mexico Neuropsychology LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Northern New Mexico Neuropsychology LLC was last updated on August 11, 2016. 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.