505 DIAGNOSTICS LLC
NPI 1629810486
Psychologist - Clinical in Albuquerque, NM

Q: What is 505 Diagnostics LLC's NPI number?

The NPI number for 505 Diagnostics LLC is 1629810486. It was assigned to this organization in the NPPES registry on June 11, 2024.

Q: What is 505 Diagnostics LLC's specialty?

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

Active since June 11, 2024

4225 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109(505) 361-1931(505) 521-5147 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2025, Jun 11, 2024 (2 updates tracked since 2024).

On this page

About 505 Diagnostics Llc NPPES

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

505 DIAGNOSTICS LLC (NPI 1629810486) is a healthcare organization registered as a clinical in Albuquerque, New Mexico and active in the NPI registry since June 2024. The organization lists Rebekah Jan Hutchins Khan, Ceo/provider, as its authorized official.

NPPES Registry Identity

NPI1629810486

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business Name505 DIAGNOSTICS LLC

Location Address4225 MONTGOMERY BLVD NEAlbuquerque, NM 87109-1103

Mailing Address4225 Montgomery Blvd NeAlbuquerque, NM 87109-1103 · (505) 548-8035 · Fax (505) 581-3291

Phone(505) 361-1931

Fax(505) 521-5147

Organization SubpartNo

Authorized OfficialRebekah Jan Hutchins KhanCeo/provider · (470) 728-9352

Enumeration DateJune 11, 2024

Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2025

✔ NPI 1629810486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

4225 MONTGOMERY BLVD NE, Albuquerque, NM 87109

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

505 Diagnostics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to 505 Diagnostics LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rebekah Hutchins Khan, PHD

Mental Health Counselor

NPI 1740927953

4225 MONTGOMERY BLVD NE
Albuquerque, NM 87109

(505) 595-3505

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 505 Diagnostics LLC's NPI number?

The NPI number for 505 Diagnostics LLC is 1629810486. It was assigned to this organization in the NPPES registry on June 11, 2024.

Where is 505 Diagnostics LLC located?

505 Diagnostics LLC is located at 4225 Montgomery Blvd NE, Albuquerque, NM 87109. The listed phone number is (505) 361-1931.

What is 505 Diagnostics LLC's specialty?

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

Is 505 Diagnostics LLC enrolled in Medicare?

Yes. 505 Diagnostics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 505 Diagnostics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to 505 Diagnostics LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for 505 Diagnostics LLC was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.