Nicole Cassidy · Clinical Psychologist

1 Brookings Dr, Saint Louis, MO 63130-4862

Overview

Nicole Cassidy is a Clinical Psychologist practicing in Saint Louis, Missouri. The National Provider Identifier (NPI) is #1689981334, which was assigned on September 1, 2010, and the registration record was last updated on November 2, 2015. The practitioner's main practice location is at 1 Brookings Dr, Saint Louis, MO 63130-4862; the contact telephone number is 3149356666, and the fax number is 3149358515. The primary taxonomy of Nicole Cassidy is Clinical Psychologist (103TC0700X), with specialization in Clinical. Nicole Cassidy is licensed to practice in the state of Missouri (#2015032100).

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Provider Information

NPI 1689981334
Entity Type Individual
Provider Name MRS. NICOLE CASSIDY
Gender Female
Credential PSYD
Practice Address 1 Brookings Dr
Saint Louis
MO 63130-4862
Practice Telephone 3149356666
Practice Fax Number 3149358515
Mailing Address 1201 Ricker Rd
Po Box 1250
Salem
IL 62881-4263
Mailing Telephone 3149356666
Mailing Fax Number 3149358515
Enumeration Date 2010-09-01
Last Update Date 2015-11-02
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y103TC0700XPsychologistClinical2015032100MO

Taxonomy Information

Primary Taxonomy

Code 103TC0700X
Taxonomy Clinical Psychologist
Classification Psychologist
Specialization Clinical
Grouping Behavioral Health & Social Service Providers
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Notes: Source: American Psychological Association, www.apa.org [1/1/2019: new definition]

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Location Information

Street Address 1 BROOKINGS DR
City SAINT LOUIS
State MO
Zip Code 63130-4862
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Sarah Joyce Mermelstein 1 Brookings Dr, Saint Louis, MO 63130-4862Internal Medicine Physician2008-01-28
Alexis J Bouras 1 Brookings Dr, Saint Louis, MO 63130-4899Physician Assistant2022-01-19
Rebecca J. Lester 1 Brookings Dr, Campus Box 1114, Saint Louis, MO 63130-4862Clinical Social Worker2009-09-08
Jason Scott Shellhaas 1 Brookings Dr, Saint Louis, MO 63130-4862Sports Medicine (Internal Medicine) Physician2006-10-27
Kathleen J Brock 1 Brookings Dr, Saint Louis, MO 63130-4862Clinical Psychologist2007-01-24

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.