MEDICARE: DR. CHARLES PATRICK MCGREEVY PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	156	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	201006582	OTHER	NM	PSYCHOLOGIST

General Provider Information

NPI Number	:	1134289861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES PATRICK MCGREEVY PHD

Provider Business Mailing Address
First Line	:	7101 PROSPECT PL NE
Second Line	:	7107 PROSPECT PL NE
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-4332
Country	:	US
Telephone Number	:	505-298-2658
Fax Number	:	505-856-2069

Provider Business Practice Location Address
First Line	:	7113 PROSPECT PL NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-4313
Country	:	US
Telephone Number	:	505-298-2658
Fax Number	:	505-856-2069

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	06/15/2011

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1952977936 — TAMER OSMAN
Practice Location Address:

7113 PROSPECT PL NE
ALBUQUERQUE, NM
87110-4313

Practice Phone: 505-903-6309
Practice Fax: 505-405-3184

1295784353 — MR. JONATHAN TRIMBLE MACK EDM, LPCC
Practice Location Address:

7109 PROSPECT PL NE
ALBUQUERQUE, NM
87110-4313

Practice Phone: 505-796-4004
Practice Fax: 505-830-3264

1720011315 — DR. AARON J MAYBERRY MD, FACS
Practice Location Address:

7115 PROSPECT PL NE
ALBUQUERQUE, NM
87110-4313

Practice Phone: 505-888-3844
Practice Fax: 505-503-8275

1578670774 — DR. MICHAEL E ROUSSEL DMD
Practice Location Address:

7127 PROSPECT PL NE
ALBUQUERQUE, NM
87110-4313

Practice Phone: 505-881-4365
Practice Fax: 505-881-8282

1508944737 — MS. RENEE ANNETTE FUEMMELER OD
Practice Location Address:

7121 PROSPECT PL NE
ALBUQUERQUE, NM
87110-4313

Practice Phone: 505-293-3515
Practice Fax:

Directions to “ DR. CHARLES PATRICK MCGREEVY PHD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.