Dr. Mindy Jitmanowan, PSY
Dr. Mindy Jitmanowan, PSY is a Clinical Psychologist in Albuquerque, New Mexico. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in New Mexico.
- Years since qualifying
- 10
- Licensed in
- NM
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
Albuquerque, NMNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence PSY1623 (NM) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1316372501 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PSY |
| Sole proprietor | Yes |
| NPI enumerated | September 6, 2013 |
| Last updated in NPPES | May 20, 2021 |
| Certification date | May 20, 2021 |
Medicare enrollment
| Medicare specialty | CLINICAL PSYCHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 43 |
|---|---|
| Services billed | 84 |
| Average patient age | 73 |
Practises at
- Presbyterian Hospital Hospital · Albuquerque, NM · listed as Presbyterian Hospital ASC
Other providers in Albuquerque
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Dr. John Ryan Jeppsen, DMD
Student / training record Albuquerque, NM
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Mr. Dinesh Vinayak Jillella, MD
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-
Ling Jing, MD
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Dr. Lindsay Jean Jinkins, MD
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-
Sarah Joh, MD
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Garrett Johannsen, DDS
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Dr. Trintje Johansson, DO
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Brianna Johnson
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