Individual provider Active NPI

Lisa Partyka-Sarette, PH.D.

  • Clinical Psychologist
  • Las Cruces, NM
National Provider Identifier
1710139183
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1019 Issued in NM
Practice address
2145 El Paseo Rd
Las Cruces, NM 88001-6008
Phone
(575) 647-8040
Fax
(575) 526-2834
NPI assigned
Oct 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1019 NM Primary
Clinical Child & Adolescent Psychologist 103TC2200X PSY 4988 CA

Addresses

Primary practice location

2145 El Paseo Rd
Las Cruces, NM 88001-6008

Mailing address

4314 Tewa CT
Las Cruces, NM 88011-4348
Phone (805) 451-9866

Other names 1

  • Lisa B. Partyka Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100224000976 NM Practitioner - Clinical Psychologist 2062556368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2145 El Paseo Rd
Las Cruces, NM 88001-6008
Phone (575) 647-8040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY 4988CAMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa B. Partyka, PH.D. LLC CurrentSince Jan 14, 2010 Accepting new patients
New Pathways Counseling CurrentSince Mar 27, 2022 Accepting new patients

Locations

2145 El Paseo Rd
Las Cruces, NM 88001
Phone (575) 635-9653

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1710139183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 TEWA CT",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114348",
            "telephone_number": "805-451-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 EL PASEO RD",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880016008",
            "telephone_number": "575-647-8040",
            "fax_number": "575-526-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARTYKA-SARETTE",
        "first_name": "LISA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "1019",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY 4988",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PARTYKA",
            "middle_name": "B.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.