Organization Active NPI

Curtis W Cassidy M D P a

  • Psychiatry Physician
  • Lakeland, FL
National Provider Identifier
1477669471
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME86103 Issued in FL
Legal business name
CURTIS W CASSIDY M D P A
Practice address
832 S Florida Ave Ste 2
Lakeland, FL 33801-5202
Phone
(863) 686-0800
Fax
(863) 686-0805
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Authorized official

Name
Dr. Curtis William Cassidy, M.D.NPI 1932123734
Title
President
Phone
(863) 686-0800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084F0202X ME86103 FL
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X ME86103 FL Primary

Addresses

Primary practice location

832 S Florida Ave Ste 2
Lakeland, FL 33801-5202

Mailing address

832 S Florida Ave Ste 2
Lakeland, FL 33801-5202
Phone (863) 686-0800

National Provider Directory

National Provider Directory

Locations

1902 S Florida Ave
Lakeland, FL 33803
Phone (863) 686-0800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1477669471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 S FLORIDA AVE STE 2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015202",
            "telephone_number": "863-686-0800",
            "fax_number": "863-686-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 S FLORIDA AVE STE 2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015202",
            "telephone_number": "863-686-0800",
            "fax_number": "863-686-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURTIS W CASSIDY M D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "CASSIDY",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-686-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "FL",
            "license": "ME86103",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME86103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.