Individual provider Active NPI

Cailyn Nicole Caskey, PSY.D.

  • Clinical Psychologist
  • Plantation, FL
National Provider Identifier
1205615325
Registry record updated Nov 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY12003 Issued in FL
Practice address
301 NW 84TH Ave Ste 200
Plantation, FL 33324-1807
Phone
(954) 429-5830
NPI assigned
Sep 27, 2023
Last updated
Nov 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2024

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 PY12003 FL Primary

Addresses

Primary practice location

301 NW 84TH Ave Ste 200
Plantation, FL 33324-1807

Mailing address

301 NW 84TH Ave Ste 200
Plantation, FL 33324-1807
Phone (954) 429-5830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240401001050 FL Practitioner - Clinical Psychologist 6507204294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 NW 84TH Ave
Suite 200
Plantation, FL 33324-1807
Phone 95442958302

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY12003FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Mental Health Services, LLC Clinical CurrentSince Nov 28, 2023 Accepting new patients

Locations

301 NW 84th Ave
Ste 200
Plantation, FL 33324
Phone (954) 429-5830

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": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1205615325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 NW 84TH AVE STE 200",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241807",
            "telephone_number": "954-429-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NW 84TH AVE STE 200",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241807",
            "telephone_number": "954-429-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASKEY",
        "first_name": "CAILYN",
        "middle_name": "NICOLE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY12003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.