Active NPI
Lori J Kasmen, PSY.D.
- Psychologist
- Bala Cynwyd, PA
National Provider Identifier
1376632901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS015233
- Practice address
- 112 Bala Ave
Bala Cynwyd, PA 19004-3025 - Phone
- (610) 667-6490
- Fax
- (610) 667-1744
- NPI assigned
- Oct 12, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS015233 | PA | Primary |
Addresses
Primary practice location
112 Bala Ave
Bala Cynwyd, PA 19004-3025
Mailing address
112 Bala Ave
Bala Cynwyd, PA 19004-3025
Phone (610) 667-6490
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2134279000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 1451540 | Other | PA | BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS015233 | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376632901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 BALA AVE",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190043025",
"telephone_number": "610-667-6490",
"fax_number": "610-667-1744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 BALA AVE",
"city": "BALA CYNWYD",
"state": "PA",
"postal_code": "190043025",
"telephone_number": "610-667-6490",
"fax_number": "610-667-1744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASMEN",
"first_name": "LORI",
"middle_name": "J",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS015233",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "2134279000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1451540",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bala Cynwyd, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.