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CHILD PSYCHOLOGY CENTER NPI 1528603743


NPI Information

NPI: 1528603743
Provider Name: CHILD PSYCHOLOGY CENTER
Classification: Psychologist - 103TC2200X
Entity Type: Organization

Specialization: Clinical Child & Adolescent

Address:
3751 N BUTLER AVE STE 115
FARMINGTON, NM
ZIP 87401
Phone: (662) 603-1035
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CHILD PSYCHOLOGY CENTER is a clinical child and adolescent psychologist in Farmington, NM. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. CHILD PSYCHOLOGY CENTER NPI is 1528603743. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3751 N BUTLER AVE STE 115
FARMINGTON, NM
ZIP 87401-425
Phone: (662) 603-1035

The provider's authorized official is Priscilla Roth-wall .
The authorized official title is Psychologist/owner and has the following contact phone number (662) 603-1035.

The enumeration date for this NPI number is 11/12/2019 and was last updated on 11/12/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC2200XPsychologistClinical Child & AdolescentYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
116970748MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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