Jason B Lassner, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

00762 Issued in IA

Practice address

2000 James St.
Ste 211
Coralville, IA 52241-1882

Phone

(319) 358-9397

NPI assigned

Apr 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Compass Psychology, Inc.

  • Clinical Psychologist
  • Coralville, IA
  • NPI 1952722043
  NPD (past) Authorized official
• Anne M. Green, Inc.

  • Counseling Psychologist
  • Coralville, IA
  • NPI 1053732016
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1619934965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 JAMES ST.",
            "address_2": "STE 211",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411882",
            "telephone_number": "319-358-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 JAMES ST.",
            "address_2": "STE 211",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411882",
            "telephone_number": "319-358-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSNER",
        "first_name": "JASON",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "00762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK PROVIDER #",
            "identifier": "45096",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy A. Lacina
• Kaitlyn Lamb
• John C Lanaghan, MD
• Caitlin Larsen, DPT
• Lauren Larson, LMT
• Sydney Lynn Laufenberg, RD
• Nancy Le, PHARMD
• Iyana Nambia Leach
• Ryan D Lee, D.O.
• Amy Leitch, DNP,ARNP

• Clinical Psychologist in Coralville, IA
• Providers in Coralville, IA by specialty
• Clinical Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.