Cassandra Mary Wilson, MA, MHP, EMMHS

Primary specialty

PsychoanalystTaxonomy code 102L00000X

License

MC 60696501 Issued in WA

Practice address

16150 NE 85TH St Ste 220
Redmond, WA 98052-3546

Phone

(425) 558-0558

NPI assigned

Mar 23, 2017

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Sandbox Therapy Group, Inc.

  • Psychologist
  • Redmond, WA
  • NPI 1205378825
  NPD (past)

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1679004451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 204TH ST SW APT A102",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980369311",
            "telephone_number": "206-859-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16150 NE 85TH ST STE 220",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523546",
            "telephone_number": "425-558-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CASSANDRA",
        "middle_name": "MARY",
        "credential": "MA, MHP, EMMHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "WA",
            "license": "MC 60696501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Douglas Williams, DDS
• Melanie Williams
• Mriana Williams, CRNA
• Robert Ian Williams, D.C.
• Rachel Daigh Wilson Rodriguez, L.AC., LMP
• Donna Mardelle Wilson, COTA
• Betsy Winkler, PT, DPT
• Kit Christian A Winn
• Winter Sage Counseling, PLLC
• Barbara Marie Winter, MA, LMHCA PENDING

• Psychoanalyst in Redmond, WA
• Providers in Redmond, WA by specialty
• Psychoanalyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.