Healthcare Provider Details

I. General information

NPI: 1023817657
Provider Name (Legal Business Name): MARTIN & CUMMINGS INTEGRATED HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3616 CAMPUS BLVD NE
ALBUQUERQUE NM
87106-1314
US

IV. Provider business mailing address

1933 SAN MATEO BLVD NE PMB 231
ALBUQUERQUE NM
87110-5146
US

V. Phone/Fax

Practice location:
  • Phone: 505-908-3826
  • Fax: 505-966-9597
Mailing address:
  • Phone: 505-908-3826
  • Fax: 505-966-9597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: AUSTIN CUMMINGS
Title or Position: OFFICE MGR/OWNER
Credential:
Phone: 505-908-3826