| NPI | 1003065749 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2008-09-18 |
| Last Updated | 2017-02-28 |
| Mailing Address | 785 Anthony Drive Anthony, NM 88021-9747 United States Phone: (575) 882-5100 📍 View Map |
| Primary Practice Address | 320 Mccombs Rd Ste C Chaparral, NM 88081-7937 United States Phone: (575) 882-5100 | Fax: (575) 882-1151 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 103T00000X – Psychologist | WA | PY60201752 |
| No | 103TC0700X – Psychologist, Clinical | NM | 1296 |
| Yes | 103TP0016X – Psychologist, Prescribing (Medical) | NM | 0040C |
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About NPI 1003065749
Martin Nicholas Ancona PH.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1003065749. The primary specialty listed is Psychologist, Prescribing (Medical). The provider is located in Chaparral, NM. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2008-09-18. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1003065749?
NPI 1003065749 belongs to Martin Nicholas Ancona PH.D., a Psychologist, Prescribing (Medical) in Chaparral, NM. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1003065749 active?
The current status of NPI 1003065749 in the NPPES registry is Active. The record was last updated on 2017-02-28.
What specialty is NPI 1003065749?
NPI 1003065749 is classified under the taxonomy Psychologist, Prescribing (Medical). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1003065749?
You can verify NPI 1003065749 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1003065749?
The primary practice address on file for NPI 1003065749 is 320 Mccombs Rd Ste C, Chaparral, NM 88081-7937. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1003065749 issued?
NPI 1003065749 was first issued (enumerated) on 2008-09-18. The NPPES record was last updated on 2017-02-28.
Practice Location Map
Martin Nicholas Ancona is located at 320 Mccombs Rd Ste C, Chaparral, NM. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Martin Nicholas Ancona. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1003065749. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Psychologist | PY60201752 | WA |
| Psychologist, Clinical | 1296 | NM |
| Psychologist, Prescribing (Medical) | 0040C | NM |