Individual provider Active NPI

Milton Lasoski, PH.D.

  • Clinical Psychologist
  • Albuquerque, NM
National Provider Identifier
1306859202
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
364 Issued in NM
Practice address
4253 Montgomery Blvd NE
Ste 220
Albuquerque, NM 87109-1106
Phone
(505) 342-0400
NPI assigned
Aug 14, 2006
Last updated
Sep 13, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 364 NM Primary

Addresses

Primary practice location

4253 Montgomery Blvd NE
Ste 220
Albuquerque, NM 87109-1106

Mailing address

4253 Montgomery Blvd NE
Ste 220
Albuquerque, NM 87109-1106
Phone (505) 342-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
364NMMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Cares NV LLC Clinical PastSince Jul 1, 2014 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1306859202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4253 MONTGOMERY BLVD NE",
            "address_2": "STE 220",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091106",
            "telephone_number": "505-342-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4253 MONTGOMERY BLVD NE",
            "address_2": "STE 220",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091106",
            "telephone_number": "505-342-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASOSKI",
        "first_name": "MILTON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.