Karen Lynn Cassiday, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-004439 Issued in IL

Practice address

1500 Skokie Blvd
Suite 204
Northbrook, IL 60062-4121

Phone

(847) 559-0001

NPI assigned

Jul 26, 2011

Sex

Female

Sole proprietor

Yes

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

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.

Opted out of Medicare

Yes, effective Sep 17, 2020 through Sep 17, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Anxiety & Agoraphobia Treatment Center, LTD.

  • Clinical Psychologist
  • Northbrook, IL
  • NPI 1023261542
  NPD (past) Authorized official

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1265710180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SKOKIE BLVD",
            "address_2": "SUITE 204",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624121",
            "telephone_number": "847-559-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SKOKIE BLVD",
            "address_2": "SUITE 204",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624121",
            "telephone_number": "847-559-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDAY",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-004439",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerome Cases
• Brenna Casey, OT
• Leah Casey
• Diego Casillas
• Priscilla Lynn Caskey-Shively, SLP
• Cynthia Cassidy, M.A., LCPC
• Jocelyn Castillo, RBT-19-74847
• Alaya Castro
• Jeliver Castro
• Cathie Dunal MD MPH SC

• Clinical Psychologist in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.