Provider Demographics
NPI:1932114782
Name:NEMES, LEWIS (PHD)
Entity Type:Individual
Prefix:DR
First Name:LEWIS
Middle Name:
Last Name:NEMES
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 BARLANE PL NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-5402
Mailing Address - Country:US
Mailing Address - Phone:505-345-6616
Mailing Address - Fax:505-765-9010
Practice Address - Street 1:516 BARLANE PL NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-5402
Practice Address - Country:US
Practice Address - Phone:505-345-6616
Practice Address - Fax:505-765-9010
Is Sole Proprietor?:No
Enumeration Date:2006-07-30
Last Update Date:2021-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM523103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMNM00NK04OtherBLUE CROSS BLUE SHIELD
NM201007246OtherPRESBYTERIAN HEALTH
NM89512OtherCIGNA BEHAVIORAL HEALTH
NMNM100463OtherVALUE OPTIONS
NM000N6603Medicaid
NM268444OtherMANAGED HEALTH NETWORK