Active NPI
Casandra Farrell
- Behavior Analyst
- Waldorf, MD
National Provider Identifier
1710448386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 2670 Crain Hwy
Waldorf, MD 20601-2806 - Phone
- (301) 373-3065
- NPI assigned
- Mar 27, 2019
- Last updated
- Feb 24, 2023
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
2670 Crain Hwy
Waldorf, MD 20601-2806
Mailing address
401 Main St Ste 15
Amherst, MA 01002-2353
Phone (413) 461-7120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
44101 Airport View Dr
Hollywood, MD 20636-3145
Phone 3013733065241
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29609 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Inc | Current | Accepting new patients | |
| Pathways Inc | Current | Accepting new patients | |
| Pathways Inc | Past | Accepting new patients | |
| Pathways Inc | Past | Accepting new patients |
Locations
44101 Airport View Dr
Hollywood, MD 20636
Phone (301) 373-3065
501 Main St
Ste 203
Prince Frederick, MD 20678
Phone (301) 373-3065
2670 Crain Hwy
Ste 300
Waldorf, MD 20601
Phone (301) 373-3065
Organizations & group practices 4
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.
-
- Adult Mental Health Clinic/Center
- Hollywood, MD
- NPI 1043229875
-
- Adult Mental Health Clinic/Center
- Prince Frederick, MD
- NPI 1205501293
-
- Mental Health Counselor
- Waldorf, MD
- NPI 1487105979
-
- Community/Behavioral Health Agency
- Hollywood, MD
- NPI 1881707651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1710448386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 MAIN ST STE 15",
"city": "AMHERST",
"state": "MA",
"postal_code": "010022353",
"telephone_number": "413-461-7120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2670 CRAIN HWY",
"city": "WALDORF",
"state": "MD",
"postal_code": "206012806",
"telephone_number": "301-373-3065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRELL",
"first_name": "CASANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-27",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waldorf, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.