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

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: July 26, 2026.

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

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

Other Providers at the Same Location NPPES 9

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

CONSUELO GARVEY-SIERRA LISW
Social Worker
4225 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 881-1820
BRAYLIN RODRIGUEZ
Behavior Technician
4225 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 595-3505
LIFE STRATEGIES COUNSELING
Counselor (Mental Health)
4225 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 881-1820
SMALL TOWN FAMILY PRACTICE LLC
Clinic/Center (Primary Care)
4225 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 366-3635
COLLEEN ANN DOUGHERTY LMHC
Counselor (Mental Health)
4225 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 595-3505
DEANNA R CLARK CFNP
Nurse Practitioner (Family)
4225 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 366-3635
NM SMALL TOWN FAMILY PRACTICE, LLC
Clinic/Center (Primary Care)
4225 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 366-3635
DR. REBEKAH JAN HUTCHINS KHAN PHD
Counselor (Professional)
4225 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 595-3505

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.

When was this NPI record last updated?

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