Active NPI
Graciela Cassel, PSYCHOLOGIST
- Psychologist
- Brooklyn, NY
National Provider Identifier
1568615839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 015028
- Practice address
- 136 Stanhope St
Brooklyn, NY 11221-3407 - Phone
- (347) 408-6500
- NPI assigned
- Oct 29, 2008
- 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 | 015028 | NY | Primary |
Addresses
Primary practice location
136 Stanhope St
Brooklyn, NY 11221-3407
Mailing address
136 Stanhope St
Brooklyn, NY 11221-3407
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015028 | Other | NY | NEW YORK STATE PSYCHOLOGY LICENSE |
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 |
|---|---|---|---|
| 015028 | NY | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332460800000",
"number": "1568615839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 STANHOPE ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112213407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 STANHOPE ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112213407",
"telephone_number": "347-408-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSEL",
"first_name": "GRACIELA",
"name_prefix": "Dr.",
"credential": "PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-29",
"last_updated": "2012-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "015028",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW YORK STATE PSYCHOLOGY LICENSE",
"identifier": "015028",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.