Active NPI
Adrianne Blanche Casadaban, PH.D.
- Clinical Psychologist
- Lafayette, CA
National Provider Identifier
1508082298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY7178
- Practice address
- 110 Lafayette Cir Ste 100
Lafayette, CA 94549-4315 - Phone
- (925) 946-9991
- Fax
- (925) 935-3123
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY7178 | CA | Primary |
Addresses
Primary practice location
110 Lafayette Cir Ste 100
Lafayette, CA 94549-4315
Mailing address
3473 Shangri la Rd
Lafayette, CA 94549-2107
Phone (925) 946-9991
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140910002610 | CA | Practitioner - Clinical Psychologist | 2860611548 | Practice locations: Lafayette, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
110 Lafayette Cir
Suite 100
Lafayette, CA 94549-4397
Phone (925) 946-9991
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY7178 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567296000000",
"number": "1508082298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3473 SHANGRI LA RD",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945492107",
"telephone_number": "925-946-9991",
"fax_number": "925-935-3123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LAFAYETTE CIR STE 100",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945494315",
"telephone_number": "925-946-9991",
"fax_number": "925-935-3123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASADABAN",
"first_name": "ADRIANNE",
"middle_name": "BLANCHE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2019-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY7178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.