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

Northern New Mexico Neuropsychology LLC

Organization Clinical Neuropsychologist · NPI 1487910402

Northern New Mexico Neuropsychology LLC is a Clinical Neuropsychologist 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
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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