Individual provider Active NPI

Ryan Michael Cassidy, M.D., PH.D.

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1811517618
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
U9488 Issued in TX
Practice address
5615 H Mark Crosswell Jr St
Houston, TX 77021-1080
Phone
(713) 500-1500
Fax
(713) 500-2714
NPI assigned
Apr 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 64423 TN
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X U9488 TX Primary

Addresses

Primary practice location

5615 H Mark Crosswell Jr St
Houston, TX 77021-1080

Mailing address

1601 23Rd Avenue South
Training Office, Suite 3105 VPH
Nashville, TN 37212-8645
Phone (615) 322-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240617000985 TX Practitioner - Psychiatry 5496126237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical School at Houston, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

2800 S Macgregor Way
Harris County Psychiatric Ctr
Houston, TX 77021-1032
Phone (713) 741-4815

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
64423TNMDPsychiatry Physician
U9488TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Jul 1, 2024 Accepting new patients
Ut Physicians Psychiatry CurrentSince Jul 1, 2024 Accepting new patients
University of Texas Health Science Center at Houston Past Accepting new patients

Locations

5615 H Mark Crosswell Jr St
Houston, TX 77021
Phone (713) 500-1500

6410 Fannin St
Ste 135
Houston, TX 77030

2800 S Macgregor Way
Houston, TX 77021
Phone (713) 741-5000

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1811517618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 23RD AVENUE SOUTH",
            "address_2": "TRAINING OFFICE, SUITE 3105 VPH",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372128645",
            "telephone_number": "615-322-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 H MARK CROSSWELL JR ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770211080",
            "telephone_number": "713-500-1500",
            "fax_number": "713-500-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-21",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "64423",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "U9488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.