Organization Active NPI

Cassa Place, LLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Plant City, FL
National Provider Identifier
1861385080
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
Legal business name
CASSA PLACE, LLC
Practice address
110 E Reynolds St Ste 802
Plant City, FL 33563-3371
Phone
(813) 666-4060
NPI assigned
May 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Cassandra Rosebraugh, APRN, PMHNP-BCNPI 1144880980
Title
Psych Nurse Practitioner/Owner
Phone
(813) 666-4060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SP0808X Primary

Addresses

Primary practice location

110 E Reynolds St Ste 802
Plant City, FL 33563-3371

Mailing address

504 W Cherry St
Plant City, FL 33563-2314
Phone (813) 446-3236

Other names 1

  • Cassa Place LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250825001852 FL Part B Supplier - Clinic/Group Practice 4385144237 Receives reassigned benefits from 1 practitioner
Practice locations: Plant City, FL

National Provider Directory

National Provider Directory

Locations

110 E Reynolds St
Ste 802
Plant City, FL 33563
Phone (813) 666-4060

Practitioners & affiliated clinicians

Practitioners 1

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": "1748476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1861385080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 W CHERRY ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335632314",
            "telephone_number": "813-446-3236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E REYNOLDS ST STE 802",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335633371",
            "telephone_number": "813-666-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSA PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "ROSEBRAUGH",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "PSYCH NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "813-666-4060",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cassa Place LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cassa Place LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plant City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.