Laissa Eschiletti Prati, PSYCHOLOGIST

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY.0004455 Issued in CO

Practice address

300 Boardwalk Dr
Unit 5-a
Fort Collins, CO 80525-3070

Phone

(970) 223-2256

Fax

(970) 223-2324

NPI assigned

Aug 19, 2016

Last updated

Nov 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Laissa Leopardo Eschiletti Other name

Medicare fee-for-service enrollment

Enrolled in CO

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, 2009

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Laissa Prati Psychology Private Practice LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Collins, CO
  • NPI 1689124315
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478304000000",
    "number": "1427503481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6519 TOMBSTONE RIDGE RD",
            "city": "TIMNATH",
            "state": "CO",
            "postal_code": "805476501",
            "telephone_number": "970-889-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BOARDWALK DR",
            "address_2": "UNIT 5-A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253070",
            "telephone_number": "970-223-2256",
            "fax_number": "970-223-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCHILETTI PRATI",
        "first_name": "LAISSA",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "PSY.0004455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAISSA",
            "last_name": "LEOPARDO ESCHILETTI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sheri Danielle Erwin, DNP, FNP-C
• Shauna Raenell Escalante, RN
• Kristine Escamilla
• Erica Marie Escandon
• Jon Paul Escarcega
• Annestazia Escobar
• Avram A Eskin, DC
• Grant C Espey, PHARMD
• Vashti Y Espinosa, BS
• Alyssa Esposito, LCSW

• Psychologist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2016; 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.