Debra D Cassidy, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

019205-1 Issued in NY

Practice address

1745 Broadway
17 FL
New York, NY 10019-4640

Phone

(212) 851-8100

Fax

(212) 537-0102

NPI assigned

Sep 1, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

New Beginnings Psychology, LLC.Group PAC ID 7012185036, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• New Beginnings Psychology, LLC.

  • Psychologist
  • Huntington, NY
  • NPI 1689872608
  Medicare reassignment Care Compare group
• Caremed Primary and Urgent Care PC

  • Internal Medicine Physician
  • Patchogue, NY
  • NPI 1487050134
  NPD

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1326329582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 LINCOLN PL",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117587037",
            "telephone_number": "516-319-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 BROADWAY",
            "address_2": "17 FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100194640",
            "telephone_number": "212-851-8100",
            "fax_number": "212-537-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "DEBRA",
        "middle_name": "D",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-01",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019205-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03564692",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer D Cassetta, MS, MED, CCC-SLP
• Samantha Cassetty, MS, RD
• Amanda Stephanie Cassidy, MSN, WHNP-BC
• Ann Cassidy, D.O.
• Deborah M Cassidy, D.O.
• Joan W Cassidy, FNP
• Joseph Cassidy Jr., DDS
• Kayla Ann Cassidy
• Sarah Ann Cassidy
• Cara Cassino, MD

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.