Active NPI
Elizabeth J Cassidy, PH.D.
- Counseling Psychologist
- Warrensburg, MO
National Provider Identifier
1609308568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 2008001973
- Practice address
- 108 W South St
Humphreys Building Suite 131
Warrensburg, MO 64093-2324 - Phone
- (660) 543-4060
- NPI assigned
- Mar 30, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 2008001973 | MO | Primary |
Addresses
Primary practice location
108 W South St
Humphreys Building Suite 131
Warrensburg, MO 64093-2324
Mailing address
108 South Street
Humphreys Building Suite 131
Warrensburg, MO 64093
Phone (660) 543-4060
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008001973 | MO | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1609308568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 SOUTH STREET",
"address_2": "HUMPHREYS BUILDING SUITE 131",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "64093",
"telephone_number": "660-543-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 W SOUTH ST",
"address_2": "HUMPHREYS BUILDING SUITE 131",
"city": "WARRENSBURG",
"state": "MO",
"postal_code": "640932324",
"telephone_number": "660-543-4060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSIDY",
"first_name": "ELIZABETH",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-30",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MO",
"license": "2008001973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrensburg, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.