Active NPI
Cassin Cole-Straub, PSY.D.
- Psychologist
- Lawrenceville, GA
National Provider Identifier
1548513963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY003641
- Practice address
- 1805 Herrington Rd
BLDG. 2
Lawrenceville, GA 30043-7987 - Phone
- (507) 722-2402
- Fax
- (770) 962-1886
- NPI assigned
- Oct 23, 2012
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY003641 | GA | Primary |
Addresses
Primary practice location
1805 Herrington Rd
BLDG. 2
Lawrenceville, GA 30043-7987
Mailing address
1805 Herrington Rd
BLDG. 2
Lawrenceville, GA 30043-7987
Phone (507) 722-2402
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY003641 | GA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411516800000",
"number": "1548513963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 HERRINGTON RD",
"address_2": "BLDG. 2",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300437987",
"telephone_number": "507-722-2402",
"fax_number": "770-962-1886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 HERRINGTON RD",
"address_2": "BLDG. 2",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300437987",
"telephone_number": "507-722-2402",
"fax_number": "770-962-1886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE-STRAUB",
"first_name": "CASSIN",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-23",
"last_updated": "2014-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY003641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.