Active NPI
Cathy Simutis, PH.D.
- Clinical Psychologist
- Albuquerque, NM
National Provider Identifier
1285653311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 394
- Practice address
- 1400 Central Ave SE
Suite 2000
Albuquerque, NM 87106-4811 - Phone
- (505) 980-4060
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 394 | NM | Primary |
Addresses
Primary practice location
1400 Central Ave SE
Suite 2000
Albuquerque, NM 87106-4811
Mailing address
1400 Central Ave SE
Suite 2000
Albuquerque, NM 87106-4811
Phone (505) 980-4060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 394 | NM | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242864000000",
"number": "1285653311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 CENTRAL AVE SE",
"address_2": "SUITE 2000",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064811",
"telephone_number": "505-980-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 CENTRAL AVE SE",
"address_2": "SUITE 2000",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064811",
"telephone_number": "505-980-4060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMUTIS",
"first_name": "CATHY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2009-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NM",
"license": "394",
"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 May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.