Amanda K Cassil, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY26549 Issued in CA

Practice address

595 E Colorado Blvd Ste 632
Pasadena, CA 91101-2052

Phone

(626) 765-1635

NPI assigned

Aug 14, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2016 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stem Psychological Services

  • Psychologist
  • Pasadena, CA
  • NPI 1598278731
  NPD Authorized official
• Amanda Cassil, PHD

  • Community/Behavioral Health Agency
  • Pasadena, CA
  • NPI 1306214770
  NPD (past) Authorized official

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592006400000",
    "number": "1609275635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 632",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012052",
            "telephone_number": "626-765-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 632",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012052",
            "telephone_number": "626-765-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIL",
        "first_name": "AMANDA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-14",
        "last_updated": "2020-06-13",
        "certification_date": "2020-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Marilyn Casillas
• Katy Caslav, MSW
• Katelin Casner
• Daniel J Casper, MD, FACS
• Joanne Eileen Casserly
• Kathryn Cassutt
• Timothy John Cassutt, PH.D.
• Ariana Mercedes Castaneda
• Emily Elizabeth Castaneda, B.A
• Jose Castaneda

• Clinical Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.