Cassondra L Feldman, PSY.D.
Individual provider Active NPI Clinical Psychologist · Bay Harbor Islands, FL
NPI 1124669965 · NPPES record last updated Nov 30, 2020
Key facts
- NPI
- 1124669965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PY10552 (FL)
- Practice address
- 1019 Kane Concourse
Bay Harbor Islands, FL 33154-2137 - Phone
- (395) 409-2716
- NPI assigned
- Oct 2, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 20, 2020 through Nov 20, 2026
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY10552 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cassondra Feldman, Psy.D., P.a. | Clinical | Current |
Accepting new patients |
Locations
1019 Kane Concourse
Ste 203
Bay Harbor Islands, FL 33154
Phone (305) 853-9857
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY10552 | FL | Yes |
Addresses
Primary practice location
1019 Kane Concourse
Bay Harbor Islands, FL 33154-2137
Mailing address
1019 Kane Concourse Ste 203
Bay Harbor Islands, FL 33154-2138
Phone (305) 853-9857
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All providers in Bay Harbor Islands, FL · Clinical Psychologist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.