Active NPI
Janine Korahais Stasior, PH.D., M.S.
- Clinical Neuropsychologist
- Lexington, MA
National Provider Identifier
1851317291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 7139
- Practice address
- 76 Bedford St Ste 12
Lexington, MA 02420-4640 - Phone
- (781) 861-6655
- NPI assigned
- Jul 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 7139 | MA | Primary |
Addresses
Primary practice location
76 Bedford St Ste 12
Lexington, MA 02420-4640
Mailing address
76 Bedford St Ste 12
Lexington, MA 02420-4640
Phone (781) 861-6655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7139 | MA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851317291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 BEDFORD ST STE 12",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024204640",
"telephone_number": "781-861-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 BEDFORD ST STE 12",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024204640",
"telephone_number": "781-861-6655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STASIOR",
"first_name": "JANINE",
"middle_name": "KORAHAIS",
"name_prefix": "Dr.",
"credential": "PH.D., M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MA",
"license": "7139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.