Active NPI
Mary Cassady PH.D. PLLC
- Clinical Psychologist
- Utica, MI
National Provider Identifier
1740496447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301012228
- Legal business name
- MARY CASSADY PH.D. PLLC
- Practice address
- 11111 Hall Rd
Suite 201
Utica, MI 48317-5711 - Phone
- (586) 254-7383
- NPI assigned
- May 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mary Cassady, PH.D.
- Title
- Owner
- Phone
- (586) 254-7383
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301012228 | MI | Primary |
| Counseling Psychologist | 103TC1900X | 6301012228 | MI | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6301012228 | MI |
Addresses
Primary practice location
11111 Hall Rd
Suite 201
Utica, MI 48317-5711
Mailing address
11111 Hall Rd
Suite 201
Utica, MI 48317-5711
Phone (586) 254-7383
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1740496447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11111 HALL RD",
"address_2": "SUITE 201",
"city": "UTICA",
"state": "MI",
"postal_code": "483175711",
"telephone_number": "586-254-7383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11111 HALL RD",
"address_2": "SUITE 201",
"city": "UTICA",
"state": "MI",
"postal_code": "483175711",
"telephone_number": "586-254-7383"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY CASSADY PH.D. PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-16",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "CASSADY",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-254-7383",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301012228",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6301012228",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MI",
"license": "6301012228",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Utica, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.