Organization Active NPI

Cynthia Sontag, Lisw, PC

  • Adult Mental Health Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1740428879
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CYNTHIA SONTAG, LISW, PC
Practice address
1300 Lomas Blvd NW
Albuquerque, NM 87104-1234
Phone
(505) 263-1001
NPI assigned
Jan 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Authorized official

Name
Ms. Cynthia Sontag
Title
Lisw, PC
Phone
(505) 263-1001

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X I-1991 NM
Adult Mental Health Clinic/Center 261QM0850X NM Primary

Addresses

Primary practice location

1300 Lomas Blvd NW
Albuquerque, NM 87104-1234

Mailing address

PO Box 1971
Albuquerque, NM 87103-1971
Phone (505) 263-1001

Other identifiers 1

IdentifierTypeStateIssuer
99294MedicaidNM

National Provider Directory

National Provider Directory

Locations

1300 Lomas Blvd NW
Albuquerque, NM 87104
Phone (505) 263-1001

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1740428879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1971",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871031971",
            "telephone_number": "505-263-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 LOMAS BLVD NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871041234",
            "telephone_number": "505-263-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA SONTAG, LISW, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "SONTAG",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "LISW, PC",
        "authorized_official_telephone_number": "505-263-1001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NM",
            "license": "I-1991",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "99294",
            "state": "NM"
        }
    ],
    "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 Jan 28, 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.

Verify at the official NPI Registry.