Nova BHS

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

LP2187 Issued in MN

Legal business name

NOVA BHS

Doing business as

Maryanne Lassegard

Practice address

521 Tanglewood Dr.
Shoreview, MN 55126

Phone

(612) 306-4721

Fax

(763) 434-6570

NPI assigned

Apr 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Mary Anne Lassegard, PH.D.

Title

Owner

Phone

(612) 306-4721

Specialties & licenses 5

Addresses

Other names 1

• Maryanne Lassegard Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maryanne Anne Lassegard, PH.D LP

  • Clinical Psychologist
  • Shoreview, MN
  • NPI 1982689592

  Cognitive & Behavioral

  NPD (past)

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1598150930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 INTERLACHEN DR.",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "55304",
            "telephone_number": "612-306-4721",
            "fax_number": "763-434-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 TANGLEWOOD DR.",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "55126",
            "telephone_number": "612-306-4721",
            "fax_number": "763-434-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA BHS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-02",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "LASSEGARD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-306-4721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MN",
            "license": "LP2187",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP2187",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": "MN",
            "license": "LP2187",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MN",
            "license": "LP2187",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MN",
            "license": "LP2187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryanne Lassegard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Marie Neumann, MA OTR
• Jeffrey B. Norsted, D.D.S.
• Pamela Mary North, MD
• Northeast Youth & Family Services
• Northview Dental, P.a. (Northview Dental)
• Nurture Minds LLC
• Julie Lynn O'Brien, LMT
• Meagan O'Connor, DPT
• Kathryn Jean O'Dea, MS,CCC-SLP
• Ohm, Inc. (Oak Hill Montessori Community School)

• Interventional Pain Medicine Physician in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Interventional Pain Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.