Individual provider Active NPI

Cassie Ann White, PSYD

  • Clinical Psychologist
  • Scottsdale, AZ
National Provider Identifier
1386962231
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4090 Issued in AZ
Practice address
7033 E Greenway Pkwy Ste 120
Scottsdale, AZ 85254-2075
Phone
(480) 567-9771
NPI assigned
May 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 4090 AZ
Clinical Neuropsychologist 103G00000X 3972 CO
Adult Development & Aging Psychologist 103TA0700X 3972 CO
Clinical Psychologist 103TC0700X 3972 CO
Clinical Psychologist 103TC0700X 4090 AZ Primary

Addresses

Primary practice location

7033 E Greenway Pkwy Ste 120
Scottsdale, AZ 85254-2075

Mailing address

7033 E Greenway Pkwy Ste 120
Scottsdale, AZ 85254-2075
Phone (480) 567-9771

Other names 1

  • Dr. Cassie Ann Faulhaber Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20100526000515 AZ Practitioner - Clinical Psychologist 7911036181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

7242 E Osborn Rd
Suite 400
Scottsdale, AZ 85251-5607
Phone (602) 258-3354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3972COMDAdult Development & Aging Psychologist
4090AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory CurrentSince Jun 20, 2022 Accepting new patients
Honorhealth Ambulatory CurrentSince Jun 20, 2022 Accepting new patients
A Wisermind LLC Clinical PastSince Sep 16, 2014 Accepting new patients

Locations

7242 E Osborn Rd
Ste 400
Scottsdale, AZ 85251
Phone (480) 587-6145

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1386962231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 E GREENWAY PKWY STE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542075",
            "telephone_number": "480-567-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7033 E GREENWAY PKWY STE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542075",
            "telephone_number": "480-567-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "CASSIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-16",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "4090",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "3972",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CO",
            "license": "3972",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3972",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSIE",
            "last_name": "FAULHABER",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.