Individual provider Active NPI

Ashley Fogarty Lass, PSY.D, P.A.

  • Clinical Psychologist
  • Tampa, FL
National Provider Identifier
1841241569
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7188 Issued in FL
Practice address
2425 E Hanna Ave
Tampa, FL 33610-1317
Phone
(813) 238-3053
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY7188 FL Primary

Addresses

Primary practice location

2425 E Hanna Ave
Tampa, FL 33610-1317

Mailing address

3616 W Roland St
Tampa, FL 33609-2832
Phone (813) 789-3709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20051020000244 FL Practitioner - Clinical Psychologist 1850317751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3005 Lithia Pinecrest Rd
Valrico, FL 33596-5630
Phone (813) 789-3709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PY7188FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley Fogarty Lass, Psy.D.,P.a. Clinical CurrentSince Sep 16, 2005 Accepting new patients

Locations

730 S Sterling Ave
Ste 108
Tampa, FL 33609
Phone (813) 789-3709

3005 Lithia Pinecrest Rd
Valrico, FL 33596
Phone (813) 425-2569

Organizations & group practices 1

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1841241569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 W ROLAND ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092832",
            "telephone_number": "813-789-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 E HANNA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336101317",
            "telephone_number": "813-238-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASS",
        "first_name": "ASHLEY",
        "middle_name": "FOGARTY",
        "name_prefix": "Dr.",
        "credential": "PSY.D, P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.