Laissa Prati Psychology Private Practice LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

PSY.0004455 Issued in CO

Legal business name

LAISSA PRATI PSYCHOLOGY PRIVATE PRACTICE LLC

Practice address

300 Boardwalk Dr
Unit 5-a
Fort Collins, CO 80525-3070

Phone

(970) 223-2256

Fax

(970) 223-2324

NPI assigned

Oct 5, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Laissa Eschiletti Prati, PSYCHOLOGISTNPI 1427503481

Title

Psychologist

Phone

(970) 889-4862

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

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

• Laissa Eschiletti Prati, PSYCHOLOGIST

  • Psychologist
  • Fort Collins, CO
  • NPI 1427503481
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1689124315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6519 TOMBSTONE RIDGE RD",
            "city": "TIMNATH",
            "state": "CO",
            "postal_code": "805476501",
            "telephone_number": "970-889-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BOARDWALK DR",
            "address_2": "UNIT 5-A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253070",
            "telephone_number": "970-223-2256",
            "fax_number": "970-223-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAISSA PRATI PSYCHOLOGY PRIVATE PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "ESCHILETTI PRATI",
        "authorized_official_first_name": "LAISSA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "970-889-4862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CO",
            "license": "PSY.0004455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angeline Marie Lafreniere
• Amy Lynn Lagreca, PA-C
• Lagrimas Libres, LLC
• Megan Lagueux, RN
• Joshua Marc Lahiff, O.D.
• Lindsey Lakatos
• Lake Loveland Dermatology PC
• Charlotte Lakin, RDN
• Matthew Lakin, MA
• Nichole Marie Laliberte, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.