Active NPI
Layla Kassem
- Clinical Psychologist
- Washington, DC
National Provider Identifier
1861625246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071-005544
- Practice address
- 4801 Connecticut Ave NW
Apt 912
Washington, DC 20008-2207 - Phone
- (773) 865-9286
- NPI assigned
- Sep 1, 2009
- Last updated
- Sep 1, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 Psychologist | 103TC0700X | 071-005544 | IL | Primary |
Addresses
Primary practice location
4801 Connecticut Ave NW
Apt 912
Washington, DC 20008-2207
Mailing address
4801 Connecticut Ave NW
Apt 912
Washington, DC 20008-2207
Phone (773) 865-9286
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-005544 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Malachite Institute for Behavioral Health, Inc | Clinical | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Oak Park, IL
- NPI 1568353654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251763200000",
"number": "1861625246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 CONNECTICUT AVE NW",
"address_2": "APT 912",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200082207",
"telephone_number": "773-865-9286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 CONNECTICUT AVE NW",
"address_2": "APT 912",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200082207",
"telephone_number": "773-865-9286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASSEM",
"first_name": "LAYLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-01",
"last_updated": "2009-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071-005544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.