Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ideal Self Therapy LLC

Organization Clinical Psychologist · NPI 1386447936

Ideal Self Therapy LLC is a Clinical Psychologist in Rio Rancho, New Mexico. Registered with an NPI since 2025.

In the registry since
2025
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

720 8th St NE
Rio Rancho, NM 87124-0791
Phone: (505) 226-2191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1386447936
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leah Bogusch — Owner · (505) 226-2191
NPI enumeratedMarch 29, 2025
Last updated in NPPESMarch 29, 2025
Certification dateMarch 29, 2025
Mailing address1209 Mountain Road Pl Ne Ste N, Albuquerque, NM 87110-7845

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