Active NPI
Cynthia Agnes Lose, PSY.D.
- Clinical Psychologist
- Hobbs, NM
National Provider Identifier
1942449814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0801
- Practice address
- 215 W Broadway St
Suite #1
Hobbs, NM 88240-6065 - Phone
- (575) 393-0692
- Fax
- (575) 393-0796
- NPI assigned
- Feb 16, 2009
- Last updated
- Feb 16, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0801 | NM | Primary |
| Clinical Psychologist | 103TC0700X | 02164 | CA |
Addresses
Primary practice location
215 W Broadway St
Suite #1
Hobbs, NM 88240-6065
Mailing address
215 W Broadway St
Suite #1
Hobbs, NM 88240-6065
Phone (575) 393-0692
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02164 | CA | MD | Clinical Psychologist |
| 0801 | NM | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zia Consulting, Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1234742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234742400000",
"number": "1942449814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 W BROADWAY ST",
"address_2": "SUITE #1",
"city": "HOBBS",
"state": "NM",
"postal_code": "882406065",
"telephone_number": "575-393-0692",
"fax_number": "575-393-0796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 W BROADWAY ST",
"address_2": "SUITE #1",
"city": "HOBBS",
"state": "NM",
"postal_code": "882406065",
"telephone_number": "575-393-0692",
"fax_number": "575-393-0796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOSE",
"first_name": "CYNTHIA",
"middle_name": "AGNES",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-16",
"last_updated": "2009-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NM",
"license": "0801",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "02164",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hobbs, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.