Active NPI
Cynthia Sontag, Lisw, PC
- Adult Mental Health Clinic/Center
- Albuquerque, NM
National Provider Identifier
1740428879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99294 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
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.