Organization
PSYCHOGENESIS LLC
Active
Organization
PSYCHOGENESIS LLC
Active
Other names
Psychogenesis
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER VERA MD (OWNER)
(505) 585-3744
Entity
Organization
Contact information
Practice address
3900 EUBANK BLVD NE STE 18, ALBUQUERQUE, NM 87111-3427
(505) 585-3744
Mailing address
PO BOX 93274, ALBUQUERQUE, NM 87199-3274
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/14/2019
Last updated
04/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up