Cassie Douglas

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20043980A Issued in IN

Practice address

8604 Allisonville Rd Ste 280
Indianapolis, IN 46250-5552

Phone

(317) 423-1000

NPI assigned

Oct 4, 2025

Last updated

Oct 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in IN

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

Specialty

Clinical Psychologist

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Indiana Be Well, Inc.

  dba Ellie Mental Health Avon

  • Clinical Social Worker
  • Avon, IN
  • NPI 1588361067
  Medicare reassignment
• Connections, Inc

  • Community/Behavioral Health Agency
  • Indianapolis, IN
  • NPI 1205005055
  NPD (past)

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

{
    "created_epoch": "1759536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759536000000",
    "number": "1730053471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8604 ALLISONVILLE RD STE 280",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462505552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8604 ALLISONVILLE RD STE 280",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462505552",
            "telephone_number": "317-423-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "CASSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-04",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20043980A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Doughty
• John Winston Douglas-Jones
• Annette C Douglas, M.D.
• Ariel Douglas
• Brian C Douglas, MD
• Janna Lynn Douglas, ATC/L
• Jason Douglas, M.D., M.P.H.
• Kenyatta Douglas
• Kim A Douglas, FNP
• Megan Douglas

• Clinical Psychologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.
• 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.

Verify at the official NPI Registry.