Morgan Anne Lasley, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071010265 Issued in IL

Practice address

444 Green Bay Rd
Kenilworth, IL 60043-1001

Phone

(847) 853-0234

NPI assigned

Mar 5, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Lasley Psych Services PLLC

  • Clinical Psychologist
  • Evanston, IL
  • NPI 1760266423
  NPD Authorized official
• Afg Guidance Center Kenilworth, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Kenilworth, IL
  • NPI 1518237528
  NPD (past)

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1821623372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 MONROE ST APT 1N",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602022058",
            "telephone_number": "773-573-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 GREEN BAY RD",
            "city": "KENILWORTH",
            "state": "IL",
            "postal_code": "600431001",
            "telephone_number": "847-853-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASLEY",
        "first_name": "MORGAN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071010265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenilworth Medical Associates, S.C.
• Kenilworth Surgery LLC
• Lindsey Marilyn Klepper, MSW
• Elena B. Labkovsky, PH.D.
• Sally Lankford
• Megann Lear, DMD, MSD
• Jae Youn Lee, LPC, NCC
• Jamie P Lens, PT
• Kathleen McCabe, MA
• Mart McClellan, D.D.S., M.S.

• Clinical Psychologist in Kenilworth, IL
• Providers in Kenilworth, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.