Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Northern New Mexico Neuropsychology LLC

Organization Clinical Neuropsychologist · NPI 1487910402

Northern New Mexico Neuropsychology LLC provides Clinical Neuropsychologist services in Santa Fe, New Mexico. Licensed in New Mexico. Registered with an NPI since 2012.

Licensed in
NM
In the registry since
2012
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1911 5th St Ste 211
Santa Fe, NM 87505-5403 Not confirmed with CMS for 10 years — call before visiting
Phone: (505) 490-9049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 1183 (NM)
Clinical Psychologist Taxonomy 103TC0700X · Licence 1183 (NM)

Record details

NPI number1487910402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lauren Parks — Director · (505) 490-9049
NPI enumeratedApril 3, 2012
Last updated in NPPESAugust 11, 2016
Mailing address1911 5th St Ste 211, Santa Fe, NM 87505-5403

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