Individual provider Active NPI

Cassie A Kosarek, MD

  • Psychiatry Physician
  • Hanover, NH
National Provider Identifier
1114504099
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35234 Issued in NH
Practice address
3 Lebanon St Ste 39
Hanover, NH 03755-2158
Phone
(802) 526-4810
NPI assigned
Mar 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 042.0018707 VT
Psychiatry Physician 2084P0800X 35234 NH Primary

Addresses

Primary practice location

3 Lebanon St Ste 39
Hanover, NH 03755-2158

Mailing address

3 Lebanon St Ste 39
Hanover, NH 03755-2196
Phone (802) 526-4810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 7, 2026 through Jan 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35234NHMDPsychiatry Physician
042.0018707VTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Valley Psychiatry P.L.L.C. CurrentSince Aug 17, 2025 Accepting new patients

Locations

3 Lebanon St
Ste 39
Hanover, NH 03755
Phone (802) 526-4810

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1114504099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 LEBANON ST STE 39",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037552196",
            "telephone_number": "802-526-4810",
            "fax_number": "603-448-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 LEBANON ST STE 39",
            "city": "HANOVER",
            "state": "NH",
            "postal_code": "037552158",
            "telephone_number": "802-526-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSAREK",
        "first_name": "CASSIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "042.0018707",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "35234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, NH

Sources for this page

Verify at the official NPI Registry.