Individual provider Active NPI

Michael C. Lasala, PH.D., LCSW

  • Case Manager/Care Coordinator
  • Highland Park, NJ
National Provider Identifier
1649303173
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
44SC05078800 Issued in NJ
Practice address
8 S 3Rd Ave
Highland Park, NJ 08904-2510
Phone
(732) 246-8439
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 44SC05078800 NJ Primary

Addresses

Primary practice location

8 S 3Rd Ave
Highland Park, NJ 08904-2510

Mailing address

95 Lake Ave
Metuchen, NJ 08840-2656
Phone (732) 910-9901

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 9, 2015 through Nov 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
44SC05078800NJMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Personal Growth Past Accepting new patients
Institute for Personal Growth Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649303173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 LAKE AVE",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402656",
            "telephone_number": "732-910-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S 3RD AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042510",
            "telephone_number": "732-246-8439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASALA",
        "first_name": "MICHAEL",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NJ",
            "license": "44SC05078800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

Verify at the official NPI Registry.