Maureen Elaine Kassof, APRN

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

4704080390 Issued in MI

Practice address

5859 Cedar Ridge Dr
Ann Arbor, MI 48103-8790

Phone

(734) 996-1506

Fax

(734) 662-3255

NPI assigned

Dec 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Center for Family Psychiatry, PLC

  • Clinical Social Worker
  • Saline, MI
  • NPI 1932387263
  NPD
• Huron Valley Consultation Center Inc

  • Mental Health Counselor
  • Ann Arbor, MI
  • NPI 1750314027
  NPD (past)
• Northlight Counseling Associates Inc

  • Mental Health Counselor
  • Mesa, AZ
  • NPI 1912943903
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1235207556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5859 CEDAR RIDGE DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038790",
            "telephone_number": "734-996-1507",
            "fax_number": "734-662-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5859 CEDAR RIDGE DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481038790",
            "telephone_number": "734-996-1506",
            "fax_number": "734-662-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSOF",
        "first_name": "MAUREEN",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MI",
            "license": "1688077",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MI",
            "license": "4704080390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Pfeffer Kaskowitz, MD
• Lauren Catherine Kasmikha
• Stefanie Kasparek
• Samantha Kasperski
• Amber Mary Kassa, PA-C
• Steven J Kasten, MD
• Emily Rose Kastner
• Kate Hagadone PHD
• Kari Katerberg, DPT, OCS
• Katherine Kusner, PH.D.,LLC

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.