Individual provider Active NPI

Curtis W Cassidy, M.D.

  • Psychiatry Physician
  • Lakeland, FL
National Provider Identifier
1932123734
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME86103 Issued in FL
Practice address
832 S Florida Ave Ste 2
Lakeland, FL 33801-5202
Phone
(863) 686-0800
Fax
(863) 686-0805
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X ME86103 FL
Psychiatry Physician 2084P0800X ME86103 FL Primary

Addresses

Primary practice location

832 S Florida Ave Ste 2
Lakeland, FL 33801-5202

Mailing address

832 S Florida Ave Ste 2
Lakeland, FL 33801-5202
Phone (863) 686-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2012 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME86103FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Curtis W Cassidy M D P a Forensic Psychiatry CurrentSince Aug 24, 2006 Accepting new patients
Cmbi Therapy, LLC CurrentSince May 7, 2024 Accepting new patients

Locations

832 S Florida Ave
Ste 2
Lakeland, FL 33801
Phone (863) 510-2624

1902 S Florida Ave
Lakeland, FL 33803
Phone (863) 686-0800

1828 S Florida Ave
Lakeland, FL 33803
Phone (863) 272-9633

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1932123734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 S FLORIDA AVE STE 2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015202",
            "telephone_number": "863-686-0800",
            "fax_number": "863-686-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "832 S FLORIDA AVE STE 2",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015202",
            "telephone_number": "863-686-0800",
            "fax_number": "863-686-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "CURTIS",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "FL",
            "license": "ME86103",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME86103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.