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Dr. Martin Nicholas Ancona, PHD
Prescribing (Medical) Psychologist in Chaparral, New Mexico
NPI 1003065749

Martin Nicholas Ancona is a Prescribing (Medical) Psychologist based in Anthony, NM and is specialized in Prescribing (Medical). Martin Nicholas Ancona practices in Chaparral, NM and has the professional credentials of PHD. The NPI Number for Martin Nicholas Ancona is 1003065749 and holds a License No. PY60201752 (New Mexico).

The current practice location address for Martin Nicholas Ancona is 320 Mccombs Rd Ste C, Chaparral, NM and can be reached out via phone at 575-882-5100 and via fax at 575-882-1151.

Location: 320 Mccombs Rd Ste C, Chaparral, NM, 88021-9747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003065749
Provider Name
Martin Nicholas Ancona
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
320 Mccombs Rd Ste C, Chaparral, NM, 88021-9747
Phone Number
575-882-5100
Fax Number
575-882-1151
Provider Enumeration Date
09/18/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
320 Mccombs Rd Ste C
City
Chaparral
State
New Mexico
Zip
88081-7937
Phone Number
575-882-5100
Fax Number
575-882-1151
person
Provider Business Mailing Address Details
Address
320 Mccombs Rd Ste C
City
Chaparral
State
New Mexico
Zip
88081-7937
Phone Number
575-882-5100
Fax Number
575-882-1151
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
0040C (New Mexico)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
1296 (New Mexico)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
PY60201752 (Washington)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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