| Third Wave Psychotherapy of New Mexico | |
|
10400 Academy Rd Ne Ste 345 Albuquerque NM 87111-7351 | |
| (505) 345-6100 | |
| (505) 212-0042 |
| Full Name | Third Wave Psychotherapy of New Mexico |
|---|---|
| Speciality | Clinic/Center |
| Location | 10400 Academy Rd Ne Ste 345, Albuquerque, New Mexico |
| Authorized Official Name and Position | Rae Littlewood (OWNER) |
| Authorized Official Contact | 5059777972 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Third Wave Psychotherapy of New Mexico 10400 Academy Rd Ne Ste 345 Albuquerque NM 87111-7351 Ph: (505) 345-6100 | Third Wave Psychotherapy of New Mexico 10400 Academy Rd Ne Ste 345 Albuquerque NM 87111-7351 Ph: (505) 345-6100 |
| NPI Number | 1407730609 |
|---|---|
| Provider Enumeration Date | 08/01/2025 |
| Last Update Date | 08/01/2025 |
| Certification Date | 07/31/2025 |
| Medicare PECOS PAC ID | 3678064821 |
|---|---|
| Medicare Enrollment ID | O20251114003078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407730609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | () | Primary |
| Provider Name | Rae a Littlewood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851697973 PECOS PAC ID: 7618152257 Enrollment ID: I20110426000615 |
| Provider Name | Liza C Mermelstein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679775076 PECOS PAC ID: 7517189244 Enrollment ID: I20141113001917 |
| Provider Name | William P Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063993350 PECOS PAC ID: 9335492735 Enrollment ID: I20181101001878 |
| Provider Name | Natasha Suhail Najar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760058499 PECOS PAC ID: 8224434345 Enrollment ID: I20210914003735 |
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