Active NPI
Cassie Nell Ross
- Clinical Child & Adolescent Psychologist
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- P.08565
- Practice address
- 2222 Cherry St
Toledo, OH 43608-2673 - Phone
- (419) 251-8015
- Fax
- (419) 251-7764
- NPI assigned
- Aug 14, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6301018617 | MI | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | P.08565 | OH | Primary |
Addresses
Primary practice location
2222 Cherry St
Toledo, OH 43608-2673
Mailing address
2222 Cherry St Ste 1900
Toledo, OH 43608-2673
Phone (419) 251-3878
Other practice location 1
6855 Spring Valley Dr
Holland, OH 43528-8039
Phone (419) 389-1444
Other practice location 2
4126 N Holland Sylvania Rd
Toledo, OH 43623-3536
Phone (419) 517-7658
Other practice location 3
2213 Franklin Ave
Toledo, OH 43620-1402
Phone (419) 251-2415
Other practice location 4
500 W Market St
Tiffin, OH 44883-2610
Phone (419) 455-8150
Other practice location 5
3521 Briarfield Blvd
Maumee, OH 43537-9387
Phone (419) 794-7259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0440689 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P.08565 | OH | MD | Clinical Child & Adolescent Psychologist |
Interoperability endpoints
- cross2488111@direct.bsmhealth.org
Organizations & group practices 1
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.
-
- Psychologist
- Ann Arbor, MI
- NPI 1568487130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744588800000",
"number": "1710403597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 CHERRY ST STE 1900",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436082673",
"telephone_number": "419-251-3878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 CHERRY ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436082673",
"telephone_number": "419-251-8015",
"fax_number": "419-251-7764"
}
],
"practiceLocations": [
{
"address_1": "6855 Spring Valley Dr",
"address_purpose": "LOCATION",
"city": "Holland",
"state": "OH",
"postal_code": "435288039",
"country_code": "US",
"telephone_number": "419-389-1444",
"fax_number": "419-407-3515",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4126 N Holland Sylvania Rd",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436233536",
"country_code": "US",
"telephone_number": "419-517-7658",
"fax_number": "419-517-7610",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2213 Franklin Ave",
"address_purpose": "LOCATION",
"city": "Toledo",
"state": "OH",
"postal_code": "436201402",
"country_code": "US",
"telephone_number": "419-251-2415",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 W Market St",
"address_purpose": "LOCATION",
"city": "Tiffin",
"state": "OH",
"postal_code": "448832610",
"country_code": "US",
"telephone_number": "419-455-8150",
"fax_number": "419-455-8159",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3521 Briarfield Blvd",
"address_purpose": "LOCATION",
"city": "Maumee",
"state": "OH",
"postal_code": "435379387",
"country_code": "US",
"telephone_number": "419-794-7259",
"fax_number": "419-794-7261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSS",
"first_name": "CASSIE",
"middle_name": "NELL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-14",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MI",
"license": "6301018617",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "OH",
"license": "P.08565",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0440689",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.