Carmen Danielle Lasby, MA; PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY60654578 Issued in WA

Practice address

3417 Fremont Ave N
317
Seattle, WA 98103-3411

Phone

(206) 300-2452

Fax

(206) 547-5298

NPI assigned

Jun 19, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Carmen Lasby PLLC

  • Psychologist
  • Bellevue, WA
  • NPI 1548728744
  Medicare reassignment NPD Authorized official
• Kathleen King PHD, Inc

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1770906844
  NPD (past)

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496361600000",
    "number": "1780066381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 FREMONT AVE N STE 305",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981033411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 FREMONT AVE N",
            "address_2": "317",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981033411",
            "telephone_number": "206-300-2452",
            "fax_number": "206-547-5298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASBY",
        "first_name": "CARMEN",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "MA; PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2017-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC 60462365",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60654578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott R Larson
• Stephanie Ann Larson, ARNP
• Steven Larson, PHARMD
• Tara E Larson, RN
• Stefanie Karn Lasalle
• Emma M Lascar
• Laser Vision Centers, Inc.
• Erik Lawrence Laseur, LMT
• Jamie Renee Lashbrook
• Mary V Lasley, M.D.

• Psychologist in Seattle, WA
• Providers in Seattle, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.