Individual provider Active NPI

Joseph Michael Casciani, PHD

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1316975717
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY5291 Issued in CA
Practice address
4901 Morena Blvd
Ste 109
San Diego, CA 92117-3423
Phone
(858) 272-3992
Fax
(858) 272-3804
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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 PSY5291 CA Primary

Addresses

Primary practice location

4901 Morena Blvd
Ste 109
San Diego, CA 92117-3423

Mailing address

4901 Morena Blvd
Ste 109
San Diego, CA 92117-3423
Phone (858) 272-3992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5291CAMDAcupuncturist
4659AZMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Vericare of California Medical Group Clinical PastSince Oct 8, 1991 Accepting new patients
Vericare, P.C. Clinical PastSince Apr 30, 2003 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1316975717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 MORENA BLVD",
            "address_2": "STE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173423",
            "telephone_number": "858-272-3992",
            "fax_number": "858-272-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 MORENA BLVD",
            "address_2": "STE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173423",
            "telephone_number": "858-272-3992",
            "fax_number": "858-272-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASCIANI",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY5291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.