DR. CHARLES DANIEL MARQUEZ PSY.D.
NPI 1629607890
Clinical Neuropsychologist in Albuquerque, NM
NPI Status: Active since April 08, 2020
Contact Information
1209 MOUNTAIN ROAD PL NE STE R
ALBUQUERQUE, NM
ZIP 87110
Phone: (505) 407-5852
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Male
- Years of Experience 11
- Clinical Neuropsychologist
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About CHARLES MARQUEZ
This page provides the complete NPI Profile along with additional information for Charles Marquez, a provider established in Albuquerque, New Mexico with a medical specialization in Clinical Neuropsychologist and more than 11 years of experience. He graduated from Midwestern University College Of Dental Medicine, Glendale in 2015. The healthcare provider is registered in the NPI registry with number 1629607890 assigned on April 2020. The practitioner's primary taxonomy code is 103G00000X with license number 38070 (TX). The provider is registered as an individual and his NPI record was last updated July 2025.
- NPI
- 1629607890
- Provider Name
- DR. CHARLES DANIEL MARQUEZ PSY.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1209 MOUNTAIN ROAD PL NE STE R ALBUQUERQUE, NM 87110
- Location Phone
- (505) 407-5852
- Mailing Address
- PO BOX 1134 AZTEC, NM 87410
- Mailing Phone
- (505) 407-5852
- Medical School Name
- MIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE, GLENDALE
- Graduation Year
- 2015
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-08-2020
- Last Update Date
- 07-03-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 38070
- License State
- TX
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic - EPO
- Gold Classic Guided Care - HMO
- Gold Classic Standard - EPO
- Gold Classic Standard Guided Care - HMO
- Gold Elite - EPO
- Gold Simple Guided Care - HMO
- Silver Classic - EPO
- Silver Classic Standard - EPO
- Silver Classic Standard Guided Care - HMO
- Silver Simple Chronic Care CKM Guided Care - HMO
- Silver Simple Diabetes Guided Care - HMO
- Silver Simple Guided Care - HMO
- Silver Simple PCP Saver - EPO
- Silver Simple PCP Saver Guided Care - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Charles Marquez is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Charles Marquez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9830534387
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240223003718
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for DR. CHARLES DANIEL MARQUEZ PSY.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 2 | 9 | 6 | 0 | 7 | 8 | 9 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 4 | 9 | 12 | 0 | 14 | 8 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 4 + 9 + 1 + 2 + 0 + 1 + 4 + 8 + 1 + 8 + 24 = 70 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1629607890 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
KOWEHEALTH LLC
Nurse Practitioner
(Family)
1209 MOUNTAIN ROAD PL NE STE R
ALBUQUERQUE, NM
ZIP 87110
HORIZON HEALTHCARE OF NEW MEXICO INC
Community/Behavioral Health
1209 MOUNTAIN ROAD PL NE STE R
ALBUQUERQUE, NM
ZIP 87110
GLOBAL HEALTHCARE NETWORK
Clinic/Center
(Urgent Care)
1209 MOUNTAIN ROAD PL NE STE R
ALBUQUERQUE, NM
ZIP 87110
SLS THERAPY, LLC
Speech-Language Pathologist
1209 MOUNTAIN ROAD PL NE STE R
ALBUQUERQUE, NM
ZIP 87110
DESERT HEALTH ENDOCRINOLOGY
Nurse Practitioner
(Family)
1209 MOUNTAIN ROAD PL NE STE R
ALBUQUERQUE, NM
ZIP 87110
KAIROS CENTER FOR BEHAVIOR ANALYSIS
Behavior Analyst
1209 MOUNTAIN ROAD PL NE STE R
ALBUQUERQUE, NM
ZIP 87110
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629607890, enumerated as an "individual" on April 08, 2020.
The provider is located at 1209 MOUNTAIN ROAD PL NE STE R ALBUQUERQUE, NM 87110 and the phone number is (505) 407-5852.
Clinical Neuropsychologist with taxonomy code 103G00000X.
The provider might be accepting Accepts: Oscar Insurance Company. Please consult your insurance carrier or call the provider to verify.