505 Diagnostics LLC
Clinical Psychologist · Albuquerque, NM
Practice location
4225 Montgomery Blvd NEAlbuquerque, NM 87109-1103
- Phone
- (505) 361-1931
- Fax
- (505) 521-5147
NPI record
- NPI
- 1629810486
- Entity type
- Organization (Type 2)
- Enumeration date
- June 11, 2024
- Last updated
- February 4, 2025
- Certified
- February 4, 2025
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Psychologist Primary | 103TC0700X |
— | — |
| Professional Counselor | 101YP2500X |
— | — |
Authorized official
- Name
- Dr. Rebekah Jan Hutchins Khan
- Title
- CEO/Provider
- Phone
- (470) 728-9352
About 505 Diagnostics LLC
505 Diagnostics LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 4225 Montgomery Blvd NE, Albuquerque, NM 87109-1103. The NPI number 1629810486 was assigned on June 11, 2024 and the record was last updated on February 4, 2025.
The authorized official for this organization is Dr. Rebekah Jan Hutchins Khan, CEO/Provider.
Frequently asked questions
What is the NPI number of 505 Diagnostics LLC?
The NPI number is 1629810486.
What is the phone number of 505 Diagnostics LLC?
The phone number listed for the practice location is (505) 361-1931.
Where is 505 Diagnostics LLC located?
4225 Montgomery Blvd NE, Albuquerque, NM 87109-1103.
What is the taxonomy code for 505 Diagnostics LLC?
The primary taxonomy code is 103TC0700X – Clinical Psychologist; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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