Michael Bernard Lacrosse, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

71 Issued in NE

Practice address

1309 N 9TH St
Norfolk, NE 68701-0854

Phone

(402) 371-5306

Fax

(402) 844-3828

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293580800000",
    "number": "1346323193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 ROLLING HILLS DR",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013042",
            "telephone_number": "402-379-1361",
            "fax_number": "402-844-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 N 9TH ST",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687010854",
            "telephone_number": "402-371-5306",
            "fax_number": "402-844-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACROSSE",
        "first_name": "MICHAEL",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2010-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "71",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack Labelle IV
• Magenta Labelle
• Laboratory Corporation of America Holdings
• Steffan Rodman Lacey, MD
• Benjamin N Lacrosse, M.D.
• Leanne Lacy
• Ladora Schaecher
• Cathy J Laflan, APRN
• Jean Agnes Laing, PH.D.
• Tina C Lakowsky

• Psychologist in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Psychologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.

Verify at the official NPI Registry.