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LIZA C MERMELSTEIN PHD LLC
NPI 1710387105
Psychologist - Clinical in Albuquerque, NM

Active since September 04, 2014
9426 INDIAN SCHOOL RD NE, SUITE 1, ALBUQUERQUE, NM 87112(505) 345-6100(505) 345-4531 Get Directions Write a Review

NPPES record last updated: September 4, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Liza C Mermelstein Phd Llc NPPES

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

LIZA C MERMELSTEIN PHD LLC (NPI 1710387105) is a healthcare organization registered as a clinical in Albuquerque, New Mexico and active in the NPI registry since September 2014. The organization lists Liza Chytilo Mermelstein, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1710387105
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLIZA C MERMELSTEIN PHD LLC
Location Address9426 INDIAN SCHOOL RD NE, SUITE 1Albuquerque, NM 87112-2886
Mailing Address9426 Indian School Rd Ne, Suite 1Albuquerque, NM 87112-2886 · (505) 345-6100 · Fax (505) 345-4531
Phone(505) 345-6100
Fax(505) 345-4531
Organization SubpartNo
Authorized OfficialLiza Chytilo MermelsteinManaging Member · (607) 768-9640
Enumeration DateSeptember 4, 2014
✔ NPI 1710387105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NM · 1347
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.
9426 INDIAN SCHOOL RD NE, Albuquerque, NM 87112
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liza C Mermelstein Phd 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 Liza C Mermelstein Phd LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Liza Mermelstein, PHD
Clinical Psychologist
NPI 1679775076
9426 INDIAN SCHOOL RD NE SUITE 1
Albuquerque, NM 87112
(505) 345-6100
✔ PECOS✔ Accepts MedicareSame 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 Liza C Mermelstein Phd LLC's NPI number?

The NPI number for Liza C Mermelstein Phd LLC is 1710387105. It was assigned to this organization in the NPPES registry on September 4, 2014.

Where is Liza C Mermelstein Phd LLC located?

Liza C Mermelstein Phd LLC is located at 9426 Indian School Rd NE Suite 1, Albuquerque, NM 87112. The listed phone number is (505) 345-6100.

What is Liza C Mermelstein Phd LLC's specialty?

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

Is Liza C Mermelstein Phd LLC enrolled in Medicare?

Yes. Liza C Mermelstein Phd LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Liza C Mermelstein Phd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Liza C Mermelstein Phd 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 Liza C Mermelstein Phd LLC was last updated on September 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.