Alisson Lass
NPI 1174359251ActiveIndividual· Psychologist· Moorhead, MN
Psychologist with Sanford Medical Center Fargo, practicing in Moorhead, Minnesota. Enrolled in Medicare as practitioner - clinical psychologist and practitioner - clinical psychologist. Lists Sanford Medical Center Fargo as a hospital affiliation.
Overview
| NPI | 1174359251 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 13, 2024 |
| Last updated in NPPES | Nov 4, 2024 |
| Certified by provider | Nov 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | LP7044 | MN |
| Psychologist | 103T00000X | 641P | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MN); Practitioner - Clinical Psychologist (ND) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Sanford Medical Center FargoWest Fargo, ND · 1,225 clinicians
Hospital affiliation
- Sanford Medical Center FargoFargo, ND
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All 17 psychologists in Moorhead · All psychologists in Minnesota