# AYNI NEUROSCIENCE INSTITUTE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295377083
- **Authorized official:** DR. SCOTT CHARLES CARROLL MD (FOUNDER AND CEO)
- **Authorized official phone:** (505) 710-2312

## Contact information

- **Practice address:** 2720 CENTRAL AVE SE STE G210, ALBUQUERQUE, NM 87106-2862
- **Practice address phone:** (505) 710-2312
- **Mailing address:** 3430 MONTE VISTA BLVD NE, ALBUQUERQUE, NM 87106-1327
- **Mailing address phone:** (505) 710-2312

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | NULL | — |
| 2084B0040X | Behavioral Neurology & Neuropsychiatry Physician | — | — | — |
| 2084F0202X | Forensic Psychiatry Physician | — | NULL | — |
| 2084F0202X | Forensic Psychiatry Physician | — | — | — |
| 2084P0005X | Neurodevelopmental Disabilities Physician | — | NULL | — |
| 2084P0005X | Neurodevelopmental Disabilities Physician | — | — | — |
| 2084P0301X | Brain Injury Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084P0301X | Brain Injury Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |
| 2084P0805X | Geriatric Psychiatry Physician | — | NULL | — |
| 2084P0805X | Geriatric Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 10/13/2019
- **Last updated:** 01/01/2020