Active NPI
Layla Asamarai, PSYD.
- Clinical Psychologist
- Roseville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4892
- Practice address
- 1611 County Road B W Ste 218
Roseville, MN 55113-4053 - Phone
- (612) 877-0777
- Fax
- (651) 358-2996
- NPI assigned
- Jun 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4892 | MN | Primary |
Addresses
Primary practice location
1611 County Road B W Ste 218
Roseville, MN 55113-4053
Mailing address
1611 County Road B W Ste 202
Roseville, MN 55113-4053
Phone (651) 300-1112
Other practice location 1
1611 County Road B W Ste 202
Roseville, MN 55113-4053
Phone (612) 877-0777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1611 County Rd B W
Suite 202
Roseville, MN 55113-4053
Phone (651) 300-1112
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4892 | MN | MD | Critical Care Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminous Mind Inc | Clinical | Current | Accepting new patients |
Locations
1611 County Road B W
Ste 218
Roseville, MN 55113
Phone (612) 389-9191
1611 County Road B W
Ste 202
Saint Paul, MN 55113
Phone (651) 300-1112
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1205287885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 COUNTY ROAD B W STE 202",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551134053",
"telephone_number": "651-300-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 COUNTY ROAD B W STE 218",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551134053",
"telephone_number": "612-877-0777",
"fax_number": "651-358-2996"
}
],
"practiceLocations": [
{
"address_1": "1611 County Road B W Ste 202",
"address_purpose": "LOCATION",
"city": "Roseville",
"state": "MN",
"postal_code": "551134053",
"country_code": "US",
"telephone_number": "612-877-0777",
"fax_number": "651-358-2996",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ASAMARAI",
"first_name": "LAYLA",
"name_prefix": "Dr.",
"credential": "PSYD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-25",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "4892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.