Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053709634 Individual Practitioner Female Practitioner

Dr. Lyssa T Haase , PsyD

Psychologist - Clinical • Clovis, NM

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lyssa Haase, PsyD is a certified Psychologist - Clinical practicing in Clovis, NM. With approximately 10 years of clinical experience since completing medical education in 2016, Dr. Haase delivers high-quality medical care to the local community at 2421 W 21ST ST STE B.

Dr. Haase is affiliated with St Lukes Community Hospital and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2421 W 21st St Ste B

Clovis, NM 881012006

Telephone 5757427833
Fax 5757427856
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Clovis, NM

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs -4.7 yrs vs City Avg
City Avg: 14.7 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Clovis, NM (391 Statewide)

Telehealth Adoption Rate
40.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Haase (10 Years) 10 Yrs
Clovis Specialty Average (14.7 Years) 14.7 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-06-15
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License NM PSY-2026-0050

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.

Psychologist

NUCC Taxonomy Code: 103T00000X

State License UT 10069932-2501

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Psychologist

NUCC Taxonomy Code: 103T00000X

State License MT 4573

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Hospital & Practice Group Affiliations

St Lukes Community Hospital

126 6th Ave Sw, Ronan, MT 598642600

Phone: 4066763600

Secondary Practice Locations

126 6th Ave Sw

Ronan, MT 598642600

Phone: 4066764441

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Beba Perez-Rodriguez , PSY

Psychologist - Clinical

NPI 1083290480
Dr. Ayyappa Mysore Rangaraju , MD

Internal Medicine - Gastroenterology

NPI 1093059925

Doctor of Medicine (M.D.)

Diana Fick , PA

Physician Assistant - Surgical

NPI 1528781655

Physician Assistant

NPI 1598750424

Doctor of Medicine (M.D.)

NPI 1801866322

Doctor of Medicine (M.D.)

Christy Cooper , CNS

Clinical Nurse Specialist

NPI 1811478142

Clinical Nurse Specialist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location June 15, 2026

Registered at 2421 W 21ST ST STE B, CLOVIS, NM 881012006 (Tel: 5757427833)

📍
Updated Business Mailing Address June 15, 2026

Registered at PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 871256666

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2026

Psychologist (License #10069932-2501 in UT)

📍
Updated Practice Location August 29, 2024

Registered at 5770 S 1500 W, SALT LAKE CITY, UT 841235216 (Tel: 8013137770)

📍
Updated Practice Location June 25, 2024

Registered at 126 6TH AVE SW, RONAN, MT 598642600 (Tel: 4066764441)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2024

Psychologist (License #4573 in MT)

📍
Updated Practice Location August 05, 2019

Registered at 5770 S 1500 W BLDG G, SALT LAKE CITY, UT 841235216 (Tel: 8013137770)

📍
Updated Business Mailing Address August 05, 2019

Registered at PO BOX 30180, SALT LAKE CITY, UT 841300180

👤
Provider Name / Credentials Updated August 05, 2019

Recorded as LYSSA HAASE, PSYD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2019

Psychologist (License #10069932-2501 in UT)

NPI Profile Active January 05, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 05, 2015

Registered at 2450 S VINE ST, DENVER, CO 802105264 (Tel: 3038713626)

📍
Updated Business Mailing Address January 05, 2015

Registered at 2450 S VINE ST, DENVER, CO 802105264

👤
Provider Name / Credentials Updated January 05, 2015

Recorded as LYSSA HAASE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2015

Counselor

🟢
Initial NPI Registration & Enumeration January 05, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053709634
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2015
Last Update: June 15, 2026
Sole Proprietor: No

Mailing Address

Po Box 26666, Phs Provider Enrollment

Albuquerque, NM 871256666

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.