Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LYSSA T HAASE PSYD
NPI 1053709634
Psychologist - Clinical in Clovis, NM

Active since January 05, 2015PECOS EnrolledAccepts Medicare Assignment
2421 W 21ST ST STE B, CLOVIS, NM 88101(575) 742-7833(575) 742-7856 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2024, Aug 5, 2019 (2 updates tracked since 2019).

About Lyssa T Haase Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYSSA T HAASE PSYD (NPI 1053709634) is an individual clinical provider in Clovis, New Mexico, licensed in New Mexico (PSY-2026-0050) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Ronan, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1053709634
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameLYSSA T HAASECredential: PSYD
Location Address2421 W 21ST ST STE BClovis, NM 88101-2006
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666
Fax(575) 742-7856
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 5, 2015
Last NPPES UpdateJune 15, 20262 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
NPI 1053709634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NM · PSY-2026-0050
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedPsychologistTaxonomy 103T00000X · License 10069932-2501 (UT), 4573 (MT)
2421 W 21ST ST STE B, Clovis, NM 88101

Secondary Practice Location 1

Location 1126 6th Ave SWRonan, MT 59864-2600 · Phone (406) 676-4441 · Fax (406) 676-0835

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lyssa T Haase Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092053181
PECOS Enrollment IDI20240705002015
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 88101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.80 typical visit price
range $54.26 – $166.80
Typical copayment $41.70 (range $13.56 – $41.70)
Most-billed visit code 99205
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
2421 W 21ST ST STE B
CLOVIS, NM 88101
Psychologist (Clinical)
2421 W 21ST ST STE B
CLOVIS, NM 88101
Nurse Practitioner
2421 W 21ST ST STE B
CLOVIS, NM 88101
Podiatrist (Foot & Ankle Surgery)
2421 W 21ST ST STE B
CLOVIS, NM 88101
Registered Nurse (Ambulatory Care)
2421 W 21ST ST STE B
CLOVIS, NM 88101
Physician Assistant (Surgical)
2421 W 21ST ST STE B, GENERAL SURGERY - CLOVIS
CLOVIS, NM 88101
Surgery
2421 W 21ST ST STE B
CLOVIS, NM 88101
Psychiatry & Neurology (Psychiatry)
2421 W 21ST ST STE B
CLOVIS, NM 88101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lyssa Haase's NPI number?

The NPI number for Lyssa Haase is 1053709634. It was assigned to this individual provider in the NPPES registry on January 5, 2015.

Where is Lyssa Haase located?

Lyssa Haase practices at 2421 W 21st St Ste B, Clovis, NM 88101. The listed phone number is (575) 742-7833.

What is Lyssa Haase's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Lyssa Haase enrolled in Medicare?

Yes. Lyssa Haase is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lyssa Haase accept?

Health plans from Blue Cross and Blue Shield of Montana and Mountain Health CO-OP list Lyssa Haase as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lyssa Haase was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 53 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.