Kassandra Cerda, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

023511 Issued in NY

Practice address

251 Central Park W
New York, NY 10024-4134

Phone

(646) 780-7716

NPI assigned

Sep 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1922722511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 WASHINGTON ST",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110104434",
            "telephone_number": "516-216-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 CENTRAL PARK W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100244134",
            "telephone_number": "646-780-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERDA",
        "first_name": "KASSANDRA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "023511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Hayley Ceravolo, MD
• Andrea Cercek, M.D.
• Bianca Bucci Cercelle, DNP
• Jocelyn Marie Cercone, O.D.
• Steven P. Cercy, PH.D.
• Yafreisy D. Cerda
• Cerebrospinal Neurosurgery Specialties PC
• Julia Peck Cereda, AGACNP-BC
• Catherine Bria Cereghino, MS, FNP
• Suzanne Ceresko

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.