Cassandra Wanzo MD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35165 Issued in GA

Legal business name

CASSANDRA WANZO MD PC

Practice address

602 Bombay LN
Roswell, GA 30076-5828

Phone

(678) 566-1440

Fax

(678) 566-1442

NPI assigned

Sep 26, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Cassandra L Wanzo, M.D.NPI 1518914217

Title

Owner

Phone

(678) 566-1440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Cassandra L Wanzo, MD

  • Psychiatry Physician
  • Roswell, GA
  • NPI 1518914217
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1443225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443225600000",
    "number": "1912377433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 BOMBAY LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765828",
            "telephone_number": "678-566-1440",
            "fax_number": "678-566-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 BOMBAY LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765828",
            "telephone_number": "678-566-1440",
            "fax_number": "678-566-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSANDRA WANZO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-26",
        "last_updated": "2015-09-26",
        "status": "A",
        "authorized_official_last_name": "WANZO",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-566-1440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "35165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Jean Cartin, RBT
• Alexandra Nicole Carver
• Sarah C Carver, OT
• Steven Michael Casey, LMFT
• Tina A Cason, M.S.
• Yvonne Desiree Castellon Siles
• Robyn L Castillo Matthews
• Connie L. Caston
• Manuel Castro-Borobio, M.D.
• Andrea Victoria Castro

• Psychiatry Physician in Roswell, GA
• Providers in Roswell, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2015; 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.