Active NPI
Larissa Florence Seay Dashjian
- Psychologist
- Benicia, CA
National Provider Identifier
1447624614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 701 Southampton Rd Ste 209F
Benicia, CA 94510-2055 - Phone
- (707) 816-0963
- NPI assigned
- Nov 25, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Counseling Psychologist | 103TC1900X | |||
| Rehabilitation Counselor | 225C00000X | |||
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
701 Southampton Rd Ste 209F
Benicia, CA 94510-2055
Mailing address
PO Box 2079
Sebastopol, CA 95473-2079
Phone (707) 823-7300
Other practice location 1
1800 Gravenstein Hwy N
Sebastopol, CA 95472-2607
Phone (707) 823-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2019 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1447624614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2079",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954732079",
"telephone_number": "707-823-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 SOUTHAMPTON RD STE 209F",
"city": "BENICIA",
"state": "CA",
"postal_code": "945102055",
"telephone_number": "707-816-0963"
}
],
"practiceLocations": [
{
"address_1": "1800 Gravenstein Hwy N",
"address_purpose": "LOCATION",
"city": "Sebastopol",
"state": "CA",
"postal_code": "954722607",
"country_code": "US",
"telephone_number": "707-823-7300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEAY DASHJIAN",
"first_name": "LARISSA",
"middle_name": "FLORENCE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-25",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benicia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.