Active NPI
James F Lassiter PHD PC
- Clinical Psychologist
- Chesapeake, VA
National Provider Identifier
1083176796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851352496 | Medicaid | VA |
Other names 1
- JAMES F LASSITER
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Virginia Beach, VA
- NPI 1386782993
Multi-Specialty
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.