Desert Sage Neuropsychology & Psychotherapy, LLC
NPI 1902776719ActiveOrganization· Psychologist, Clinical· Albuquerque, NM
Psychologist, Clinical in Albuquerque, New Mexico, registered in NPPES in November 2025. The authorized official on file is Shannon Laura Lundy, PHD, Clinical Neuropsychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902776719 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 6, 2025 |
| Last updated in NPPES | Nov 6, 2025 |
| Certified by provider | Nov 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
| Social Worker | 104100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NM) |
|---|
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