Individual provider Active NPI

Cassondra L Feldman, PSY.D.

  • Clinical Psychologist
  • Bay Harbor Islands, FL
National Provider Identifier
1124669965
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY10552 Issued in FL
Practice address
1019 Kane Concourse
Bay Harbor Islands, FL 33154-2137
Phone
(395) 409-2716
NPI assigned
Oct 2, 2019
Last updated
Nov 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY10552 FL Primary

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

Medicare participation

Medicare enrollment files
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

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PY10552FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cassondra Feldman, Psy.D., P.a. Clinical CurrentSince Dec 6, 2020 Accepting new patients

Locations

1019 Kane Concourse
Ste 203
Bay Harbor Islands, FL 33154
Phone (305) 853-9857

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": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1124669965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 KANE CONCOURSE STE 203",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542138",
            "telephone_number": "305-853-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 KANE CONCOURSE",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542137",
            "telephone_number": "395-409-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "CASSONDRA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Harbor Islands, FL

Sources for this page

Verify at the official NPI Registry.