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

Upstream Neuropsychology & Therapy Services LLC

Organization Clinical Neuropsychologist · NPI 1104744655

Upstream Neuropsychology & Therapy Services LLC is a Clinical Neuropsychologist in Farmington, New Mexico. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
3
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

210 N Court Ave
Farmington, NM 87401-6941
Phone: (505) 407-5852
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X
Clinical Psychologist Taxonomy 103TC0700X
Rehabilitation Psychologist Taxonomy 103TR0400X

Record details

NPI number1104744655
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Marquez — Owner/Neuropsychologist · (505) 407-5852
NPI enumeratedJuly 9, 2026
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing address210 N Court Ave, Farmington, NM 87401-6941

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