Doctor profile · Federal record
Dr. MINDY JITMANOWAN, PSY
Clinical Psychologist · Student in an Organized Health Care Education/Training Program · ALBUQUERQUE, NM
- NPI 1316372501
- MIPS 83.0 / 100 · 2023
- 13 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
8300 CONSTITUTION AVE NE, BLDG D
ALBUQUERQUE, NM 871107613
(505) 291-2402 - Mailing address
-
PO BOX 26666, PROVIDER ENROLLMENT
ALBUQUERQUE, NM 871256666
Credentials & registration
- NPI registered
- September 2013 — 13 yrs on file
- Profile last updated
- May 20, 2021
- Specialty taxonomy
- 103TC0700X — NUCC code
- State license (1)
- New Mexico #PSY1623
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1316372501. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
104
Distinct HCPCS
2
Medicare allowed
$9,535
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
90832 |
Psychotherapy, 30 minutes | 66 | 31 | $58 | |
90791 |
Psychiatric diagnostic evaluation | 38 | 38 | $150 |
In context: peer comparison
Among 18 peers in this city , average services per provider: 88. This provider delivers 1.2× the peer median.