DR. MICHAEL CARVAJAL (PSY.D.) – Clinical Psychologist, NPI 1003337767
Clinical Psychologist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MICHAEL CARVAJAL (PSY.D.)
2050A 2ND ST SE
KIRTLAND AFB, NM 871172727
Phone: (505) 846-3200
Fax: (505) 272-8316
Type: Location
915 VASSAR DR NE STE 170
ALBUQUERQUE, NM 871062727
Phone: (505) 272-8833
Fax: (505) 272-8316
Type: Location
Bradbury Drive Southeast, Albuquerque, Bernalillo County, New Mexico, 87106-5117, United States
ALBUQUERQUE, NM 871064375
Phone: (505) 272-3120
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-09-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170927002392 | I | Clinical Psychologist | NM | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 87117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | NM | |
| Certified Clinical Nurse Specialist (Cns) | NM | |
| - | NM | |
| - | NM | |
| Nurse Practitioner | NM | |
| - | NM | |
| - | NM | |
| - | NM | |
| - | NM |
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