Jenel C Cassidy, PHD

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Practice address

953 Main St Ste 110
Nashville, TN 37206-3628

Phone

(615) 504-0976

NPI assigned

Mar 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1386772069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 SHADY LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372061837",
            "telephone_number": "615-504-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 MAIN ST STE 110",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372063628",
            "telephone_number": "615-504-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "JENEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "2733",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Kristina Cassell, M.D.
• Katharyn Cassella, DO
• Christina L Casselman, CRNA
• Charles Coleman Cassidy, PA-C
• Eileen Mary Cassidy, M.D.
• Kathryn Marie Cassidy
• Laurel Sue Cassidy, RN
• Thomas Cassini, M.D.
• Carly Castagna
• Dana Castagnaro

• Cognitive & Behavioral Psychologist in Nashville, TN
• Providers in Nashville, TN by specialty
• Cognitive & Behavioral Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.