Individual provider · Type 1 NPI
Martin Nicholas Ancona, PhD, MP
Prescribing (Medical) Psychologist · Anthony, NM
Practice location
224 Anthony Dr Ste B
Anthony, NM 88021-9190
Fax (575) 205-0068
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prescribing (Medical) Psychologist Primary | 103TP0016X | 0040C (NM) |
| Clinical Psychologist | 103TC0700X | 1296 (NM) |
| Psychologist | 103T00000X | PY60201752 (WA) |
Prescribing (Medical) Psychologist: 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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…
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- Eduardo BautistaIn Home Supportive Care Agency Anthony, NM NPI 1003607920
- George Gamon, CPSWPeer Specialist Anthony, NM NPI 1417591116
About NPI 1003065749
Martin Nicholas Ancona, PhD, MP's National Provider Identifier is 1003065749, issued on Sep 18, 2008. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Anthony, NM. The record was last updated on Sep 8, 2026.