Individual provider Active NPI

Cassidy Schomburg

  • Behavior Analyst
  • Kettering, OH
National Provider Identifier
1497461396
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
5963 Kentshire Dr
Kettering, OH 45440-4253
Phone
(937) 952-6379
NPI assigned
Jan 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary
Behavior Technician 106S00000X

Addresses

Primary practice location

5963 Kentshire Dr
Kettering, OH 45440-4253

Mailing address

2733 E 12TH St Ste C2
Brooklyn, NY 11235-4672
Phone (248) 846-8700

Other practice location 1

3801 Sharon Park Ln Ste 150
Cincinnati, OH 45241-4171
Phone (248) 846-8700

Other practice location 2

7580 Northcliff Ave Ste 500
Brooklyn, OH 44144-3272
Phone (248) 846-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1497461396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 E 12TH ST STE C2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354672",
            "telephone_number": "248-846-8700",
            "fax_number": "248-846-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5963 KENTSHIRE DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454404253",
            "telephone_number": "937-952-6379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3801 Sharon Park Ln Ste 150",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452414171",
            "country_code": "US",
            "telephone_number": "248-846-8700",
            "fax_number": "248-846-8703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7580 Northcliff Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "OH",
            "postal_code": "441443272",
            "country_code": "US",
            "telephone_number": "248-846-8700",
            "fax_number": "248-846-8703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOMBURG",
        "first_name": "CASSIDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.