Active NPI
Jessica McCasland
- Behavior Analyst
- Norwalk, CT
National Provider Identifier
1104432848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 889
- Practice address
- 14 Westport Ave
Norwalk, CT 06851-3915 - Phone
- (203) 845-8000
- NPI assigned
- Sep 18, 2020
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 889 | CT | Primary |
Addresses
Primary practice location
14 Westport Ave
Norwalk, CT 06851-3915
Mailing address
395 Purdy Hill Rd
Monroe, CT 06468-1622
Phone (203) 228-1257
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 |
|---|---|---|---|
| 889 | CT | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1104432848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "395 PURDY HILL RD",
"city": "MONROE",
"state": "CT",
"postal_code": "064681622",
"telephone_number": "203-228-1257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 WESTPORT AVE",
"city": "NORWALK",
"state": "CT",
"postal_code": "068513915",
"telephone_number": "203-845-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCASLAND",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-18",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.