SUNRISE PEDIATRIC NEUROPSYCHOLOGY, LLC
NPI 1730990490
Clinical Neuropsychologist in Albuquerque, NM

Q: What is Sunrise Pediatric Neuropsychology, LLC's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since January 14, 2025

4477 IRVING BLVD NW STE B, ALBUQUERQUE, NM 87114(505) 221-6214(505) 298-4737 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 8, 2026, Nov 24, 2025, Jul 3, 2025 (3 updates tracked since 2025).

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About Sunrise Pediatric Neuropsychology, Llc NPPES

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

SUNRISE PEDIATRIC NEUROPSYCHOLOGY, LLC (NPI 1730990490) is a healthcare organization registered as a clinical neuropsychologist in Albuquerque, New Mexico and active in the NPI registry since January 2025. The organization maintains a secondary practice location in Albuquerque and lists Lisa Moran, Owner, as its authorized official.

NPPES Registry Identity

NPI1730990490

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameSUNRISE PEDIATRIC NEUROPSYCHOLOGY, LLC

Location Address4477 IRVING BLVD NW STE BAlbuquerque, NM 87114-5529

Mailing Address4477 Irving Blvd Nw Ste BAlbuquerque, NM 87114-5529 · (505) 221-6214 · Fax (505) 298-4737

Phone(505) 221-6214

Fax(505) 298-4737

Organization SubpartNo

Authorized OfficialLisa MoranOwner · (505) 221-6214

Enumeration DateJanuary 14, 2025

Last NPPES UpdateJanuary 8, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2026

✔ NPI 1730990490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

Definition

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.

4477 IRVING BLVD NW STE B, Albuquerque, NM 87114

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Secondary Practice Location 1

Location 16300 Riverside Plaza Ln NW Ste 100Albuquerque, NM 87120-1908 · Phone (505) 221-6214

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 5

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

MS. DEBRA JOY JACCARD PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)