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CYNTHIA SONTAG LISW PC NPI 1740428879


NPI Information

NPI: 1740428879
Provider Name: CYNTHIA SONTAG, LISW, PC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1300 LOMAS BLVD NW
ALBUQUERQUE, NM
ZIP 87104
Phone: (505) 263-1001
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CYNTHIA SONTAG, LISW, PC is an adult mental health clinic center in Albuquerque, NM. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. CYNTHIA SONTAG, LISW, PC NPI is 1740428879. The provider is registered as an organization entity type.

The provider's business location address is:

1300 LOMAS BLVD NW
ALBUQUERQUE, NM
ZIP 87104-234
Phone: (505) 263-1001

The provider's authorized official is Cynthia Sontag .
The authorized official title is Lisw, Pc and has the following contact phone number (505) 263-1001.

The enumeration date for this NPI number is 1/28/2009 and was last updated on 1/28/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0850XClinic/CenterAdult Mental HealthI-1991NEW MEXICONo
2261QM0850XClinic/CenterAdult Mental HealthNEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
199294MEDICAIDNEW MEXICO
2349347702MEDICARE PINNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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