NPIMap

Organization Active NPI

Dragonfly Psychological Associates

  • Clinical Psychologist
  • Media, PA
National Provider Identifier
1831658376
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DRAGONFLY PSYCHOLOGICAL ASSOCIATES
Practice address
600 N Jackson St Ste 306
Media, PA 19063-2530
Phone
(484) 440-9740
NPI assigned
Mar 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Authorized official

Name
Michael Cassano, PH.D.
Title
Owner
Phone
(484) 440-9740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

600 N Jackson St Ste 306
Media, PA 19063-2530

Mailing address

2300 Computer Rd Ste C15
Willow Grove, PA 19090-1735
Phone (484) 440-9740

Other practice location 1

2300 Computer Rd Ste C15
Willow Grove, PA 19090-1735
Phone (484) 440-9740

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL dragonflypsych.com

National Provider Directory

National Provider Directory

Locations

600 N Jackson St
Ste 306
Media, PA 19063
Phone (484) 440-3740

2300 Computer Rd
Ste C15
Willow Grove, PA 19090
Phone (484) 440-9740

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1831658376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 COMPUTER RD STE C15",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901735",
            "telephone_number": "484-440-9740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N JACKSON ST STE 306",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632530",
            "telephone_number": "484-440-9740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Computer Rd Ste C15",
            "address_purpose": "LOCATION",
            "city": "Willow Grove",
            "state": "PA",
            "postal_code": "190901735",
            "country_code": "US",
            "telephone_number": "484-440-9740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DRAGONFLY PSYCHOLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "CASSANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-440-9740",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dragonflypsych.com",
            "affiliation": "N",
            "address_1": "600 N Jackson St Ste 306",
            "city": "Media",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190632530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.