Individual provider Active NPI

Jessica Rich Lassman, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Rye Brook, NY
National Provider Identifier
1578738175
Registry record updated Apr 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
015024 Issued in NY
Practice address
14 Rye Ridge PLZ
Suite 236
Rye Brook, NY 10573-2826
Phone
(917) 734-7179
NPI assigned
Apr 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 015024 NY Primary

Addresses

Primary practice location

14 Rye Ridge PLZ
Suite 236
Rye Brook, NY 10573-2826

Mailing address

3 Addee Cir
Larchmont, NY 10538-1006
Phone (917) 734-7179

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
015024NYMDSurgical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1578738175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ADDEE CIR",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105381006",
            "telephone_number": "917-734-7179",
            "fax_number": "212-656-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RYE RIDGE PLZ",
            "address_2": "SUITE 236",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732826",
            "telephone_number": "917-734-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSMAN",
        "first_name": "JESSICA",
        "middle_name": "RICH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "015024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.