Individual provider Active NPI

Cassandra Sanchez, PSYD

  • Intellectual & Developmental Disabilities Psychologist
  • Menlo Park, CA
National Provider Identifier
1285003665
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X
License
PSY33090 Issued in CA
Practice address
120 Santa Margarita Ave BLDG B
Menlo Park, CA 94025-2725
Phone
(650) 294-9977
NPI assigned
Sep 16, 2015
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY33090 CA
Intellectual & Developmental Disabilities Psychologist 103TM1800X PSY33090 CA Primary

Addresses

Primary practice location

120 Santa Margarita Ave BLDG B
Menlo Park, CA 94025-2725

Mailing address

1001 Potrero Ave Unit 6B
San Francisco, CA 94110-3518
Phone (415) 602-6302

Other practice location 1

1001 Potrero Ave Unit 6B
San Francisco, CA 94110-3518
Phone (415) 206-6302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20240410003811 CA Practitioner - Clinical Psychologist 5193163046 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY33090CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
City and County of San Francisco CurrentSince Feb 22, 2022 Accepting new patients
City & County of San Francisco CurrentSince Feb 22, 2022 Accepting new patients
Train Psychological Services a Professional Corporation Current Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

120 Santa Margarita Ave
#B
Menlo Park, CA 94025
Phone (650) 212-5687

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 200
San Francisco, CA 94110

1001 Potrero Ave
Unit 6B
San Francisco, CA 94110
Phone (415) 206-6302

Organizations & group practices 4

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": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1285003665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE UNIT 6B",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-602-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SANTA MARGARITA AVE BLDG B",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252725",
            "telephone_number": "650-294-9977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Potrero Ave Unit 6B",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103518",
            "country_code": "US",
            "telephone_number": "415-206-6302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "CASSANDRA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY33090",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "PSY33090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

Verify at the official NPI Registry.