Lice Mamas, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

LICE MAMAS, LLC

Practice address

54 W 21St St RM 706
New York, NY 10010-7341

Phone

(646) 306-8900

NPI assigned

Feb 7, 2024

Organization subpart

No

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

Authorized official

Name

Dr. John E Fassler, MD

Title

Medical Director

Phone

(704) 909-9414

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1669236048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 W 21ST ST RM 706",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107341",
            "telephone_number": "646-306-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W 21ST ST RM 706",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107341",
            "telephone_number": "646-306-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LICE MAMAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "FASSLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "704-909-9414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Beth Licata, OTR/L
• Brianna Marie Liccardi
• Allison Michele Liccardo, DPT
• Frederick Licciardi, MD
• Carmen Licciardo, LCSW-R
• Lourdes J. Licea, LMHC
• Licefix, Inc
• Licensed Behavior Analyst Luminate PLLC
• Licensed Behavior Analyst Spectrum PLLC
• Licensed Practical Nurse

• Health Service Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.