Individual provider Active NPI

Heather Lyle Cassidy, PSYD

  • Clinical Psychologist
  • Silver Spring, MD
National Provider Identifier
1427098961
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
04180 Issued in MD
Practice address
8700 Georgia Ave Ste 305
Silver Spring, MD 20910-3605
Phone
(202) 251-5197
NPI assigned
Jun 6, 2006
Last updated
Dec 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY1000359 DC
Clinical Psychologist 103TC0700X 04180 MD Primary

Addresses

Primary practice location

8700 Georgia Ave Ste 305
Silver Spring, MD 20910-3605

Mailing address

1800 Belvedere Blvd
Silver Spring, MD 20902-4004
Phone (202) 251-5197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2025 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY1000359DCMDClinical Psychologist
04180MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Medop Behavioral Health Associates of Maryland PC Clinical PastSince Nov 1, 2006 Accepting new patients
National Rehabilitation Hospital Inc Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1427098961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BELVEDERE BLVD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209024004",
            "telephone_number": "202-251-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 GEORGIA AVE STE 305",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103605",
            "telephone_number": "202-251-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "HEATHER",
        "middle_name": "LYLE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1000359",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.