Individual provider Active NPI

Carolyn Cassels, SCHOOL PSYCHOLOGIST

  • School Psychologist
  • Clifton Park, NY
National Provider Identifier
1093581795
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
1167105 Issued in NY
Practice address
515 Moe Rd
Clifton Park, NY 12065-3821
Phone
(518) 280-4924
NPI assigned
Dec 4, 2023
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 1167105 NY Primary

Addresses

Primary practice location

515 Moe Rd
Clifton Park, NY 12065-3821

Mailing address

515 Moe Rd
Clifton Park, NY 12065-3821
Phone (518) 280-4294

Other names 1

  • Carolyn Baecher Former name

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

LicenseStateTypeSpecialty
1167105NYMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Therapy Group PT OT SLP and Psychology Services PLLC CurrentSince Dec 10, 2023 Accepting new patients

Locations

515 Moe Rd
Clifton Park, NY 12065
Phone (518) 280-4294

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1093581795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MOE RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653821",
            "telephone_number": "518-280-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MOE RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653821",
            "telephone_number": "518-280-4924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSELS",
        "first_name": "CAROLYN",
        "credential": "SCHOOL PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "1167105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "BAECHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.