Cassandra Williams, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

404549 Issued in NY

Practice address

625 Gramatan Ave Apt 5L
Mount Vernon, NY 10552-1817

Phone

(347) 264-7101

NPI assigned

Oct 31, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Cassandra Augustine Former name

Medicare fee-for-service enrollment

Enrolled in CT, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Intervention Center, IncGroup PAC ID 5193890135, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Intervention Center, Inc

  • Clinic/Center
  • Waterbury, CT
  • NPI 1598764474
  Medicare reassignment Care Compare group NPD
• Mind and Body Balanced LLC

  • Psychiatry Physician
  • Prospect, CT
  • NPI 1487519807

  NY

  Medicare reassignment NPD Authorized official
• Maxim of New York, LLC

  • Home Health Agency
  • White Plains, NY
  • NPI 1164533543
  NPD (past)

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1851796957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 GRAMATAN AVE APT 5L",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105521817",
            "telephone_number": "347-264-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 GRAMATAN AVE APT 5L",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105521817",
            "telephone_number": "347-264-7101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "813 Astoria Blvd",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111024028",
            "country_code": "US",
            "telephone_number": "929-238-3092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CASSANDRA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-31",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "691006",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "AUGUSTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jody-Ann Morrie Whynter, RN
• Julie Lynne Willard, RPH
• Janett Williams-Guillaume
• Carlene Annmarie Williams-Jack
• Alicia Williams
• Cleopatra Williams, LMSW
• Deborah Lynn Williams, NP
• Dol-Keith Williams
• Domique Williams, MS, WHNP
• George A Williams

• Psychiatric/Mental Health Nurse Practitioner in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.