{"npi":"1982689592","type":"NPI-1","status":"active","name":{"display":"Dr. Maryanne Lassegard PH.D Lp","other":[],"first":"MARYANNE","last":"LASSEGARD","middle":"ANNE","credential":"PH.D LP"},"specialty":{"primary_taxonomy":"103TC0700X","primary_taxonomy_description":"Clinical Psychologist","slug":"clinical-psychologist","schema_org_specialty":null,"all":[{"code":"101YM0800X","description":"Mental Health Counselor","primary":false,"state":"MN","license":"LP2187"},{"code":"103TA0700X","description":"Adult Development & Aging Psychologist","primary":false,"state":"MN","license":"LP2187"},{"code":"103TB0200X","description":"Cognitive & Behavioral Psychologist","primary":false,"state":"MN","license":"LP2187"},{"code":"103TC0700X","description":"Clinical Psychologist","primary":true,"state":"MN","license":"LP2187"},{"code":"103TC1900X","description":"Counseling Psychologist","primary":false,"state":"MN","license":"LP2187"},{"code":"103TF0000X","description":"Family Psychologist","primary":false,"state":"MN","license":"LP2187"},{"code":"103TH0100X","description":"Health Service Psychologist","primary":false,"state":"MN","license":"LP2187"},{"code":"103TP2701X","description":"Group Psychotherapy Psychologist","primary":false,"state":"MN","license":"LP2187"},{"code":"103T00000X","description":"Psychologist","primary":false,"state":"MN","license":"LP2187"}]},"addresses":[{"purpose":"LOCATION","street_1":"521 TANGLEWOOD DR","city":"SHOREVIEW","state":"MN","postal_code":"551262016","country_code":"US","phone":"6123064721","fax":"7634346570"},{"purpose":"MAILING","street_1":"3340 INTERLACHEN DR NE","city":"HAM LAKE","state":"MN","postal_code":"553044507","country_code":"US","phone":"7634346570","fax":"7634346570"}],"license":{"state":"MN","number":"LP2187"},"identifiers":[{"type_code":"01","label":"Other","value":"854806","state":"MN","issuer":"ARAZ"},{"type_code":"01","label":"Other","value":"08S11LU","state":"FM","issuer":"BCBS"},{"type_code":"05","label":"Medicaid","value":"031016600","state":"MN","issuer":null},{"type_code":"01","label":"Other","value":"57610","state":"MN","issuer":"CIGNA"},{"type_code":"01","label":"Other","value":"6124240","state":"FM","issuer":"MEDICA"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20111108000740","type_code":"14-68","type_desc":"PRACTITIONER - CLINICAL PSYCHOLOGIST","state":"MN","pac_id":"1658319272"}]},"enumeration_date":"2005-12-07","last_updated":"2017-02-10","_meta":{"source":"NPPES","snapshot_date":"2017-02-10","doc_url":"https://findmynpi.com/api"}}