Cassie M Green, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

1577 Congress St
Portland, ME 04102-2169

Phone

(207) 662-5522

NPI assigned

Sep 10, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1457786485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 HAWTHORNE LN",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066935",
            "telephone_number": "207-590-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022169",
            "telephone_number": "207-662-5522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 S McCaslin Blvd",
            "address_2": "Suite 212",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "CO",
            "postal_code": "800279731",
            "country_code": "US",
            "telephone_number": "720-287-4435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1068 S 88th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "CO",
            "postal_code": "800279459",
            "country_code": "US",
            "telephone_number": "720-287-4435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CASSIE",
        "middle_name": "M",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "PSY.0004257",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Greatorex, M.D.
• Jennifer Warren Greaves, L.C.S.W., L.A.D.C.
• Callie Wells Greco, MD
• Edward Scott Greeley II, D.P.T.
• Green Leaf Residential Care LLC
• Donald James Green
• John William Green, LCSW
• Matthew A. Green, MD
• Patrick Green, ATC
• Sandra Jean Green, ANP

• Psychologist in Portland, ME
• Providers in Portland, ME by specialty
• Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.