Cassie E Kendrick, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

36568 Issued in TX

Practice address

8401 Old McGregor Rd
Waco, TX 76712-6495

Phone

(254) 751-1550

Fax

(254) 751-9291

NPI assigned

Jun 20, 2014

Last updated

Sep 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

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

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Waco Psychological AssociatesGroup PAC ID 7810078920, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Waco Psychological Associates

  • Psychologist
  • Waco, TX
  • NPI 1073566584

  Clinical

  Medicare reassignment Care Compare group NPD
• Integrative Behavioral Health of Central Texas

  • Psychologist
  • Waco, TX
  • NPI 1609501584
  NPD Authorized official

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1215342944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 LAKE AIR DR STE 117",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102904",
            "telephone_number": "254-214-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 OLD MCGREGOR RD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126495",
            "telephone_number": "254-751-1550",
            "fax_number": "254-751-9291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Lake Air Dr Ste 117",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767102904",
            "country_code": "US",
            "telephone_number": "254-214-6795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "CASSIE",
        "middle_name": "E",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Dwain Kelm, PT, DPT
• Carol Ann Kemp, LCSW
• Karen Cervenka Kemper, MD
• Annika Kempf, MD
• Zachry Thomas Kempf, DO
• Matthew Locke Kendrick, M.D.
• Brooke Ellyn Keneipp
• Erin Kinsey Kennedy
• Melissa Kay Kennedy, COTA
• Steven Wayne Kennedy, DMD

• Clinical Psychologist in Waco, TX
• Providers in Waco, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.