Active NPI
Lara Kassoff, PH.D.
- Clinical Psychologist
- Washington, DC
National Provider Identifier
1881825693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY1000838
- Practice address
- 3 Washington Cir NW
Suite 405
Washington, DC 20037-2356 - Phone
- (571) 721-1322
- NPI assigned
- Jul 29, 2009
- Last updated
- Aug 30, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY1000838 | DC | Primary |
| Clinical Psychologist | 103TC0700X | 0810004618 | VA |
Addresses
Primary practice location
3 Washington Cir NW
Suite 405
Washington, DC 20037-2356
Mailing address
2033 K St NW
Suite 330
Washington, DC 20052
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1000838 | DC | MD | Clinical Psychologist |
| 0810004618 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377820800000",
"number": "1881825693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2033 K ST NW",
"address_2": "SUITE 330",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 WASHINGTON CIR NW",
"address_2": "SUITE 405",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200372356",
"telephone_number": "571-721-1322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASSOFF",
"first_name": "LARA",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-29",
"last_updated": "2013-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY1000838",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810004618",
"primary": false
}
],
"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 Aug 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.