Patricia Cristina Cassidy, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

013053-1 Issued in NY

Practice address

7 Woodland Ave Ste 4
Larchmont, NY 10538-3138

Phone

(917) 744-0015

NPI assigned

Oct 2, 2012

Last updated

Feb 27, 2024By the provider in NPPES

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

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": "1349136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1407107329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WOODLAND AVE STE 4",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383138",
            "telephone_number": "917-744-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WOODLAND AVE STE 4",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105383138",
            "telephone_number": "917-744-0015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 E 41st St Ste 3B",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100176217",
            "country_code": "US",
            "telephone_number": "917-744-0015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "PATRICIA",
        "middle_name": "CRISTINA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-02",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013053-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaclyn Ann Campanelli, OTR/L
• Tamika Campbell
• Peter Capuano
• Kenneth Cardillo, M.S.
• Terese Nannette Carey, RN BSN NCSN
• Robert Hamlet Catenaccio, M.D.
• Thomas Jay Ceballos
• Kevin Centofanti, RPH
• Johanna Cepeda, DPT
• Taylor Ann Chafouleas, PHARMD, RPH

• Clinical Psychologist in Larchmont, NY
• Providers in Larchmont, 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 Feb 27, 2024; 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.