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CHILD PSYCHOLOGY CENTER
NPI 1528603743
Psychologist - Clinical Child & Adolescent in Farmington, NM

Active since November 12, 2019
3751 N BUTLER AVE STE 115, FARMINGTON, NM 87401(662) 603-1035 Get Directions Write a Review

NPPES record last updated: November 12, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Child Psychology Center NPPES

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

CHILD PSYCHOLOGY CENTER (NPI 1528603743) is a healthcare organization registered as a clinical child & adolescent in Farmington, New Mexico and active in the NPI registry since November 2019. The organization lists Priscilla Roth-wall, Psychologist/owner, as its authorized official.

NPPES Registry Identity

NPI1528603743
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business NameCHILD PSYCHOLOGY CENTER
Location Address3751 N BUTLER AVE STE 115Farmington, NM 87401-6425
Mailing Address3751 N Butler Ave Ste 115Farmington, NM 87401-6425 · (662) 603-1035
Phone(662) 603-1035
Organization SubpartNo
Authorized OfficialPriscilla Roth-wallPsychologist/owner · (662) 603-1035
Enumeration DateNovember 12, 2019
✔ NPI 1528603743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
3751 N BUTLER AVE STE 115, Farmington, NM 87401
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Other Identifiers 1

Medicaid16970748NM

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

Other Providers at the Same Location NPPES

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

PRISCILLA ROTH-WALL PH.D.
Psychologist (Clinical)
3751 N BUTLER AVE STE 115
FARMINGTON, NM 87401
San Juan County (505) 787-2640

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 Child Psychology Center's NPI number?

The NPI number for Child Psychology Center is 1528603743. It was assigned to this organization in the NPPES registry on November 12, 2019.

Where is Child Psychology Center located?

Child Psychology Center is located at 3751 N Butler Ave Ste 115, Farmington, NM 87401. The listed phone number is (662) 603-1035.

What is Child Psychology Center's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Child Psychology Center was last updated on November 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.