Tomas R. Granados, Psy.D.
LBN: Tomas R. Granados, Psy.D.
Tomas R. Granados, Psy.D. is an health care organization with primary practice located at 7000 Jefferson St Ne , Albuquerque NM 87109-4313. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is the primary health care specialty.
Tomas R. Granados, Psy.D. can be contacted via phone (505) 797-0810, or through Granados, Tomas Refugio via phone (505) 797-0810.
Contact Information
Primary practice address
7000 Jefferson St Ne
Albuquerque NM 87109-4313
Phone: (505) 797-0810
Fax: (505) 797-0814
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 702 | New Mexico |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 702 | New Mexico |
Profile Details
| NPI number | 1861606246 |
|---|---|
| LBN Legal business name | Tomas R. Granados, Psy.D. |
| DBA Doing business as | |
| Authorized official | Granados, Tomas Refugio PSY.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 9th, 2007 |
| Last updated | Jul 7th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861606246 | NPPES |
| New Mexico | Other | 201011548 | CLINICAL PSYCHOLOGY |
| New Mexico | MEDICAID | S8524 | CLINICAL PSYCHOLOGY |
| New Mexico | Other | NM00JP49 | CLINICAL PSYCHOLOGY |
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