Individual provider Active NPI

Cassie Nell Ross

  • Clinical Child & Adolescent Psychologist
  • Toledo, OH
National Provider Identifier
1710403597
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
P.08565 Issued in OH
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

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0440689MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201014000395 MI Practitioner - Clinical Psychologist 4981024932 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P.08565OHMDClinical Child & Adolescent Psychologist

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.