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

Psychogenesis LLC

Organization Psychiatry Physician · NPI 1922646595

Psychogenesis LLC is a Psychiatry Physician in Albuquerque, New Mexico. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3900 Eubank Blvd NE Ste 18
Albuquerque, NM 87111-3427
Phone: (505) 585-3744
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1922646595
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Javier Vera — Owner · (505) 585-3744
Other names Psychogenesis
NPI enumeratedDecember 14, 2019
Last updated in NPPESApril 22, 2020
Certification dateApril 22, 2020
Mailing addressPo Box 93274, Albuquerque, NM 87199-3274

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