Patrick Kyle Cassidy, PSYCH TECH

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

PT36895 Issued in CA

Practice address

640 Eman CT
Arroyo Grande, CA 93420-3222

Phone

(928) 542-9079

NPI assigned

Aug 20, 2013

Last updated

Aug 20, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1114350592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 EMAN CT",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203222",
            "telephone_number": "928-542-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 EMAN CT",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203222",
            "telephone_number": "928-542-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "PATRICK",
        "middle_name": "KYLE",
        "credential": "PSYCH TECH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT36895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerilynn Ford Campbell, M.D.
• Nicolette Cantarella, MA
• Travona Carlisle, PHARMD
• Cheryl Ann Caruso, REGISTERED NURSE
• Susan Denise Cashier-Cozza, RDHAP #189
• Alyssa Katherine Castagna, NP
• Veronica Jenale Castilleja
• Heather Cecena, M.S., CCC-SLP
• Central Coast Behavioral Health, Inc.
• Central Coast in Home Care Services LLC

• Licensed Psychiatric Technician in Arroyo Grande, CA
• Providers in Arroyo Grande, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.