Active NPI
Anne Marie Lasoski, PSY.D.
- Clinical Neuropsychologist
- Braintree, MA
National Provider Identifier
1992859953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 7005
- Practice address
- 250 Pond St
Braintree, MA 02184-5351 - Phone
- (781) 348-2260
- Fax
- (781) 348-2132
- NPI assigned
- Jan 23, 2007
- 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 Neuropsychologist | 103G00000X | 7005 | MA | Primary |
Addresses
Primary practice location
250 Pond St
Braintree, MA 02184-5351
Mailing address
33 Pond Ave
Suite # 1121
Brookline, MA 02445-7163
Phone (617) 735-1822
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012265 | Other | MA | PACIFICARE BEHAVIORAL HEA |
| 0500801 | Medicaid | MA | |
| 007005 | Other | MA | TUFTS |
| W05938 | Other | MA | BLUE CROSS |
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 |
|---|---|---|---|
| 7005 | MA | MD | Mental Health Counselor |
| 9005 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifedimensions Neuropsychological Services, Inc | Clinical Neuropsychologist | Current | Accepting new patients |
Locations
250 Pond St
Braintree, MA 02184
Phone (781) 848-1300
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.
-
- Psychologist
- Braintree, MA
- NPI 1932172632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992859953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 POND AVE",
"address_2": "SUITE # 1121",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024457163",
"telephone_number": "617-735-1822",
"fax_number": "781-348-2132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 POND ST",
"city": "BRAINTREE",
"state": "MA",
"postal_code": "021845351",
"telephone_number": "781-348-2260",
"fax_number": "781-348-2132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASOSKI",
"first_name": "ANNE",
"middle_name": "MARIE",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MA",
"license": "7005",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE BEHAVIORAL HEA",
"identifier": "012265",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0500801",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "007005",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "W05938",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Braintree, 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.