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

Mark Henry Pedrotty, PHD

Individual provider Clinical Psychologist · NPI 1205843265

Mark Henry Pedrotty, PHD is a Clinical Psychologist in Albuquerque, New Mexico. Qualified in 1993, 33 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
33
Licensed in
NM
In the registry since
2006
Specialties on file
4
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3200 Carlisle Blvd NE Ste 224
Albuquerque, NM 87110-1664
Phone: (505) 688-0601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 732 (NM)
Clinical Psychologist Taxonomy 103TC0700X · Licence 732 (NM)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X
Rehabilitation Psychologist Taxonomy 103TR0400X · Licence 732 (NM)

Record details

NPI number1205843265
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 2, 2006
Last updated in NPPESOctober 6, 2022
Certification dateOctober 6, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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