LESLEY PATRICK KASSICIEH DO
NPI 1316141674
Psychiatry & Neurology - Child & Adolescent Psychiatry in Everett, WA

Q: What is Lesley Kassicieh's NPI number?

The NPI number for Lesley Kassicieh is 1316141674. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Q: What is Lesley Kassicieh's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Lesley Kassicieh was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 12, 2007PECOS Enrolled

2930 MAPLE ST, EVERETT, WA 98201(425) 261-1500(425) 261-1855 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 22, 2021, Jan 12, 2017, Dec 16, 2015 (3 updates tracked since 2015).

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About Lesley Patrick Kassicieh Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LESLEY PATRICK KASSICIEH DO (NPI 1316141674) is an individual child & adolescent psychiatry provider in Everett, Washington, licensed in Washington (OP60656498) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316141674

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameLESLEY PATRICK KASSICIEHCredential: DO

Location Address2930 MAPLE STEverett, WA 98201-3832

Mailing Address2930 Maple StEverett, WA 98201-3832 · (425) 261-1500 · Fax (425) 261-1855

Phone(425) 261-1500

Fax(425) 261-1855

Sole ProprietorNo

Enumeration DateJune 12, 2007

Last NPPES UpdateApril 22, 20213 updates tracked since enumeration

NPPES CertifiedApril 22, 2021

✔ NPI 1316141674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in WA · OP60656498

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

2930 MAPLE ST, Everett, WA 98201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lesley Patrick Kassicieh Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID E. HARRIS O.D.

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