Active NPI
Cynthia A. Ziemer, PSY.D.
- Clinical Psychologist
- Albuquerque, NM
National Provider Identifier
1003039074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1630
- Practice address
- 301 Unser Blvd NW
Albuquerque, NM 87121-1927 - Phone
- (505) 925-4126
- NPI assigned
- Apr 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 071-006197 | IL | |
| Clinical Psychologist | 103TC0700X | 6301015856 | MI | |
| Clinical Psychologist | 103TC0700X | 561 | SD | |
| Clinical Psychologist | 103TC0700X | 1630 | NM | Primary |
Addresses
Primary practice location
301 Unser Blvd NW
Albuquerque, NM 87121-1927
Mailing address
6801 Sirocco PL NW
Albuquerque, NM 87114-3201
Phone (708) 763-8158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-006197 | IL | MD | Clinical Psychologist |
| 6301015856 | MI | MD | Clinical Psychologist |
| 1630 | NM | MD | Clinical Psychologist |
| 561 | SD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meditelecare of New Mexico, LLC | Clinical | Current | Accepting new patients |
Locations
206 S Coronado Ave
Espanola, NM 87532
Phone (833) 807-8727
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602806400000",
"number": "1003039074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 SIROCCO PL NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871143201",
"telephone_number": "708-763-8158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 UNSER BLVD NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871211927",
"telephone_number": "505-925-4126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIEMER",
"first_name": "CYNTHIA",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2020-10-16",
"certification_date": "2020-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-006197",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301015856",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "SD",
"license": "561",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NM",
"license": "1630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.