Lawrence Cardassi, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1828-125 Issued in WI

Practice address

11803 W North Ave Ste 209
Wauwatosa, WI 53226-2077

Phone

(414) 259-0205

Fax

(414) 259-0212

NPI assigned

Sep 21, 2006

Last updated

Jul 8, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lawrence Cardassi Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1215036884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11803 W NORTH AVE STE 209",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262077",
            "telephone_number": "414-259-0205",
            "fax_number": "414-259-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11803 W NORTH AVE STE 209",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532262077",
            "telephone_number": "414-259-0205",
            "fax_number": "414-259-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDASSI",
        "first_name": "LAWRENCE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1828-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43571100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAWRENCE",
            "last_name": "CARDASSI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Psychologist in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.