Individual provider Active NPI

Mikaru Shichi Lasher, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Norwalk, CT
National Provider Identifier
1164713053
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
003008 Issued in CT
Practice address
128 East Ave
Norwalk, CT 06851-5738
Phone
(203) 803-5662
Fax
(203) 852-6715
NPI assigned
Apr 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 003008 CT Primary
Clinical Child & Adolescent Psychologist 103TC2200X 68018347 NY

Addresses

Primary practice location

128 East Ave
Norwalk, CT 06851-5738

Mailing address

28 Heritage CT
Wilton, CT 06897-2603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
68018347NYMDClinical Child & Adolescent Psychologist
003008CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kathryn F. Nuro, PH.D., LLC PastSince Jan 1, 2009 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1164713053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 HERITAGE CT",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068972603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 EAST AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515738",
            "telephone_number": "203-803-5662",
            "fax_number": "203-852-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASHER",
        "first_name": "MIKARU",
        "middle_name": "SHICHI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CT",
            "license": "003008",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "68018347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.