ROBERT ERICSON, PHD - NPI 1700069796 - Psychologist in Los Ranchos De Albuquerque, NM

Q: What is Robert Ericson, Phd's NPI number?

The NPI number for Robert Ericson, Phd is 1700069796. It was assigned to this organization in the NPPES registry on December 12, 2007.

Q: What is Robert Ericson, Phd's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

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About Robert Ericson, Phd NPPES

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

ROBERT ERICSON, PHD (NPI 1700069796) is a healthcare organization registered as a cognitive & behavioral in Los Ranchos De Albuquerque, New Mexico and active in the NPI registry since December 2007. The organization lists Robert Charles Ericson, President, as its authorized official.

NPPES Registry Identity

NPI1700069796

Entity TypeOrganization

Primary Taxonomy103TB0200X

Legal Business NameROBERT ERICSON, PHD

Location Address6463 4TH ST NW, SUITE CLos Ranchos De Albuquerque, NM 87107-5810

Mailing Address6463 4th St Nw, Suite CLos Ranchos De Albuquerque, NM 87107-5810 · (505) 344-9500 · Fax (505) 342-1084

Phone(505) 344-9500

Fax(505) 342-1084

Organization SubpartNo

Authorized OfficialRobert Charles EricsonPresident · (505) 242-6672

Enumeration DateDecember 12, 2007

Last NPPES UpdateAugust 5, 2008

✔ NPI 1700069796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers

Taxonomy Code103TB0200X

License✔ Licensed in NM · 239

Definition

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

6463 4TH ST NW, Los Ranchos De Albuquerque, NM 87107

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Other Identifiers 3

Medicare PIN468508934PNM

OtherNM00N206NM · Blue Cross Blue Shield

MedicaidN8396NM

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 3

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

DR. ROBERT CHARLES ERICSON PHD

Psychologist

6463 4TH ST NW, STE. C
LOS RANCHOS DE ALBUQUERQUE, NM 87107

Bernalillo County (505) 344-9500

DON W HEDGES D.O.

Family Medicine (Adult Medicine)

6463 4TH ST NW
ALBUQUERQUE, NM 87107

Bernalillo County (505) 345-3572

NORTHWEST MEDICAL CENTER INC.

Family Medicine (Adult Medicine)

6463 4TH ST NW
LOS RANCHOS, NM 87107

Bernalillo County (505) 345-3572

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 Robert Ericson, Phd's NPI number?

The NPI number for Robert Ericson, Phd is 1700069796. It was assigned to this organization in the NPPES registry on December 12, 2007.

Where is Robert Ericson, Phd located?

Robert Ericson, Phd is located at 6463 4th St NW Suite C, Los Ranchos De Albuquerque, NM 87107. The listed phone number is (505) 344-9500.

What is Robert Ericson, Phd's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

When was this NPI record last updated?

The NPPES record for Robert Ericson, Phd was last updated on August 5, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.