Active NPI
Cassandra D Pasquariello Wallace, PHD, MS, EDM, CMPC
- Counseling Psychologist
- Carlsbad, CA
National Provider Identifier
1508417916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PSY26752
- Practice address
- 2475 Jefferson St Apt 104
Carlsbad, CA 92008-1413 - Phone
- (707) 227-8511
- NPI assigned
- Sep 26, 2019
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 4439 | CT | |
| Counseling Psychologist | 103TC1900X | PSY-005761 | AZ | |
| Counseling Psychologist | 103TC1900X | PSY26752 | CA | Primary |
| Counseling Psychologist | 103TC1900X | 3669-57 | WI | |
| Counseling Psychologist | 103TC1900X | PY60534188 | WA |
Addresses
Primary practice location
2475 Jefferson St Apt 104
Carlsbad, CA 92008-1413
Mailing address
PO Box 102
Carlsbad, CA 92018-0102
Phone (707) 227-8511
Other names 1
- Mrs. Cassandra Demetria Pasquariello
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
- Credentials
- Master of Science, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY26752 | CA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1508417916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 102",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920180102",
"telephone_number": "707-227-8511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2475 JEFFERSON ST APT 104",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081413",
"telephone_number": "707-227-8511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASQUARIELLO WALLACE",
"first_name": "CASSANDRA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PHD, MS, EDM, CMPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-26",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CT",
"license": "4439",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "AZ",
"license": "PSY-005761",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "PSY26752",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WI",
"license": "3669-57",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WA",
"license": "PY60534188",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CASSANDRA",
"last_name": "PASQUARIELLO",
"middle_name": "DEMETRIA",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.