Individual provider Active NPI

Cassandra Villatoro-Bank, D.O.

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1639462930
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R1906 Issued in AZ
Practice address
3141 N 3Rd Ave
Phoenix, AZ 85013-4360
Phone
(602) 914-1520
Fax
(602) 468-4512
NPI assigned
May 18, 2011
Last updated
May 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X R1906 AZ Primary

Addresses

Primary practice location

3141 N 3Rd Ave
Phoenix, AZ 85013-4360

Mailing address

2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone (602) 470-5043

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160531001773 AZ Practitioner - Psychiatry 0042500241 Reassigns benefits to 1 organization
I20160803001646 TX Practitioner - Psychiatry 0042500241 Reassigns benefits to 1 organization
I20231130002947 CA Practitioner - PsychiatryPractitioner - Neurology 0042500241 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of SonomaGroup PAC ID 4688658651, 28 clinicians

Practice addresses (Care Compare)

2225 Challenger Way
Santa Rosa, CA 95407-5441
Phone (707) 565-4861

291 W Casa Blanca Rd
Hu Hu Kam Memorial Hospital
Sacaton, AZ 85147-0038
Phone (520) 562-3323

483 W Seed Farm Rd
Sacaton, AZ 85147-0038

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.21 of 100Reported as group
Quality
76.88
Promoting interoperability
76
Improvement activities
40
Cost
73.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R1906AZMDPsychiatry Physician
17600CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Community Health CurrentSince Oct 11, 2023 Accepting new patients
St. Johns Community Health CurrentSince Oct 11, 2023 Accepting new patients
St. Johns Community Health Current Accepting new patients
District Medical Group, Inc CurrentSince May 1, 2016 Accepting new patients
Teladoc Health Medical Group, P.a. Family Medicine Current Accepting new patients
District Medical Group, Inc Current Accepting new patients
Gila River Health Care Corporation CurrentSince Jun 23, 2016 Accepting new patients
District Medical Group, Inc CurrentSince May 1, 2016 Accepting new patients
Gila River Health Care CurrentSince Jun 23, 2016 Accepting new patients
Community Bridges, Inc. PastSince Jun 21, 2022 Accepting new patients
Community Bridges, Inc. PastSince Jul 17, 2022 Accepting new patients

Locations

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

1060 Exposition Blvd
Los Angeles, CA 90007
Phone 32354116002332

Interoperability endpoints

  • Direct secure messaging: cassandravillatorobank@tdh.allscriptsdirect.net

Organizations & group practices 12

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1639462930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850168034",
            "telephone_number": "602-470-5043",
            "fax_number": "602-470-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3141 N 3RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134360",
            "telephone_number": "602-914-1520",
            "fax_number": "602-468-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLATORO-BANK",
        "first_name": "CASSANDRA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "R1906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.