Lyssa Haase, PSYD
NPI 1053709634 · Psychologist · Salt Lake City, UT
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lyssa Haase, PSYD is a Psychologist provider in Salt Lake City, UT (NPI 1053709634).
Provider details
- NPI number
- 1053709634
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Female
- Sole proprietor
- No
- License
- 4573 (MT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 126 6th Ave SwRonan, MT 59864-2600Phone: (406) 676-4441Fax: (406) 676-0835
Registry dates
- Enumerated
- 2015-01-05
- Last updated
- 2024-08-29
- Certified
- 2024-08-29
Frequently asked questions
- What is Lyssa Haase's NPI number?
- Lyssa Haase's National Provider Identifier (NPI) is 1053709634, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lyssa Haase's specialty?
- Lyssa Haase is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Lyssa Haase located?
- Lyssa Haase's practice location on file with NPPES is 5770 S 1500 W, Salt Lake City, UT 84123-5216.
- What is Lyssa Haase's phone number?
- The practice phone number listed in the NPPES registry for Lyssa Haase is (801) 313-7770.
- Does Lyssa Haase accept Medicare?
- Lyssa Haase is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lyssa Haase's NPI active?
- Yes — Lyssa Haase's NPI (1053709634) is active in the NPPES registry as of the last update on 2024-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.