Active NPI
Ryan Michael Cassidy, M.D., PH.D.
- Psychiatry Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- U9488
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Physicians
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 64423 | TN | MD | Psychiatry Physician |
| U9488 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Current | Accepting new patients | |
| Ut Physicians | Psychiatry | Current | 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.
-
- Clinical Medical Laboratory
- Houston, TX
- NPI 1124396585
-
- Health Educator
- Houston, TX
- NPI 1316534472
-
- Psychiatric Hospital
- Houston, TX
- NPI 1578547667
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.