NEENA CASSELL (NPI# 1164888566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164888566 |
| Entity Type | Individual |
| Full Name | NEENA CASSELL |
| Credential | PH.D. |
| Practice Address |
1970 Roanoke Blvd Bldg 11 Room 120f Salem VA 24153-6404 |
| Practice Telephone | 5409822463 |
| Mailing Telephone | 5409822463 |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
1970 ROANOKE BLVD BLDG 11 ROOM 120F |
| City | SALEM |
| State | VA |
| Zip Code | 24153-6404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960301 | Paul Shearer | Podiatrist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2005-05-24 |
| 1821697301 | Tammy C'w Yu | Pharmacist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2020-10-26 |
| 1649886599 | Rebecca Elizabeth Stevenson | Psychologist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2020-09-16 |
| 1013529098 | Salihah Ali | Pharmacist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2020-08-20 |
| 1043838303 | Jasper Jade Dikit Raguindin | Pharmacist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2020-07-13 |
| 1568080976 | Morgan Cook | Pharmacist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2020-07-13 |
| 1508484528 | Lisa M Harrison | Nurse Practitioner | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2020-07-07 |
| 1417575432 | Hannah Wilkoff | Pharmacist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2020-07-07 |
| 1952928764 | Stephanie Nicole May | Nurse Practitioner | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2020-06-26 |
| 1396369336 | Callie Mashburn | Optometrist | 1970 Roanoke Blvd, Salem, VA 24153-6478 | 2020-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| Find all providers in zip 24153 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386857506 | David Matthew Freed | Clinical Neuropsychologist | 1180 Cross St Se, Salem, OR 97302-2924 | 2007-05-07 |
| 1053451476 | David Welford Ellis | Clinical Neuropsychologist | 325 Route 45, Salem, NJ 08079-2045 | 2007-02-07 |
| 1750435046 | Lawrence S Fieman | Clinical Neuropsychologist | 4 Dove Ave, Salem, MA 01970-2944 | 2007-01-23 |
| 1346323219 | Megan Nicoloff | Clinical Neuropsychologist | 161 High St Se, Suite 206 C, Salem, OR 97301-3660 | 2006-10-23 |
| 1336187533 | Robert Sedgwick | Clinical Neuropsychologist | 48 Bridge St, Salem, MA 01970-4127 | 2006-06-02 |
| 1962990796 | Kathleen Teresa Rhyner | Clinical Neuropsychologist | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2018-04-26 |
| 1932580933 | Nathaniel Deyoung | Clinical Neuropsychologist | 1970 Roanoke Blvd, Mhsl 116b, Salem, VA 24153-6404 | 2015-06-15 |
| 1487042230 | Tracee Francis | Clinical Neuropsychologist | 57 Highland Ave, Salem, MA 01970-2141 | 2015-01-02 |
| 1740606862 | Peter Matthew Daly | Clinical Neuropsychologist | 57 Highland Ave, Salem, MA 01970-2141 | 2014-03-13 |
| 1275867921 | Ryan Stephen Fielding | Clinical Neuropsychologist | 57 Highland Ave, Salem, MA 01970-2141 | 2009-09-29 |
| Find all providers in SALEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.