Active NPI
Lagasse Yates, Inc
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1902851900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- LAGASSE YATES, INC
- Practice address
- 12625 High Bluff Dr
Suite 206
San Diego, CA 92130-2052 - Phone
- (858) 793-8768
- NPI assigned
- May 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Susan Lagasse, PH.D.
- Title
- Owner
- Phone
- (858) 793-8768
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
12625 High Bluff Dr
Suite 206
San Diego, CA 92130-2052
Mailing address
12625 High Bluff Dr
Suite 206
San Diego, CA 92130-2052
Phone (858) 793-8768
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- San Diego, CA
- NPI 1164461836
-
- Clinical Psychologist
- San Diego, CA
- NPI 1881633618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321574400000",
"number": "1902851900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12625 HIGH BLUFF DR",
"address_2": "SUITE 206",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302052",
"telephone_number": "858-793-8768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12625 HIGH BLUFF DR",
"address_2": "SUITE 206",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302052",
"telephone_number": "858-793-8768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAGASSE YATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2011-11-18",
"status": "A",
"authorized_official_last_name": "LAGASSE",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "858-793-8768",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.