Organization Active NPI

James F Lassiter PHD PC

  • Clinical Psychologist
  • Chesapeake, VA
National Provider Identifier
1083176796
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
JAMES F LASSITER PHD PC
Practice address
2006 Old Greenbrier Road
Suite 12
Chesapeake, VA 23320-2648
Phone
(757) 228-5635
Fax
(757) 233-0327
NPI assigned
Apr 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James F Lassiter, PHD, ABPP
Title
Owner
Phone
(757) 228-5635

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2006 Old Greenbrier Road
Suite 12
Chesapeake, VA 23320-2648

Mailing address

2006 Old Greenbrier Road
Suite 12
Chesapeake, VA 23320-2648
Phone (757) 228-5635

Other identifiers 1

IdentifierTypeStateIssuer
1851352496MedicaidVA

Other names 1

  • JAMES F LASSITER Other name

National Provider Directory

National Provider Directory

Locations

2006 Old Greenbrier Rd
Ste 12
Chesapeake, VA 23320
Phone (757) 224-4496

4560 South Blvd
Ste 300
Virginia Beach, VA 23452
Phone (757) 228-5635

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1083176796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 OLD GREENBRIER ROAD",
            "address_2": "SUITE 12",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202648",
            "telephone_number": "757-228-5635",
            "fax_number": "757-233-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 OLD GREENBRIER ROAD",
            "address_2": "SUITE 12",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202648",
            "telephone_number": "757-228-5635",
            "fax_number": "757-233-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES F LASSITER PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "LASSITER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-228-5635",
        "authorized_official_credential": "PHD, ABPP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851352496",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAMES F LASSITER",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "JAMES F LASSITER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.