JOHN CASSIDY


Address: 375 Orleans St E, Stillwater, MN 55082-5830
Phone: 6514302720

JOHN CASSIDY (NPI# 1174531982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174531982
Entity Type Individual
Full Name JOHN CASSIDY
Credential LADC
Practice Address 375 Orleans St E
Stillwater
MN 55082-5830
Mailing Address 7066 Stillwater Blvd N
Oakdale
MN 55128-3937
Practice Telephone 6514302720
Practice Fax Number 6512513155
Mailing Telephone 6517775222
Mailing Fax Number 6512515111
Enumeration Date 2006-08-04
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
300491 MN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MN UC 106221 01
MN BCBS 57422KU 01
MN P1 1007499 01
MN HP 20094 01
MN UBH 84-61062 01

Other Providers JOHN CASSIDY

NPI Name Taxonomy Address Enumeration
1710029822 John Cassidy Internal Medicine 10281 Bannockburn Dr, Los Angeles, CA 90064-4706 2007-02-13
1114097748 John W Cassidy Psychiatry & Neurology 1 Riverway, Suite 600, Houston, TX 77056-1920 2006-11-09
1891890166 John F Cassidy Iv Physician Assistant 34 Summer St, Bangor, ME 04401-6446 2006-09-13
1134531106 John Martin Cassidy Internal Medicine 7715 Wolf River Blvd, Germantown, TN 38138 2014-05-27
1053495036 John F. Cassidy Psychiatry & Neurology 401 Bicentennial Way, Santa Rosa, CA 95403-2149 2006-10-25
1518067727 John R Cassidy Neurological Surgery 842 Sunset Lake Blvd, Suite 302, Venice, FL 34292-7552 2006-09-25
1609973403 John Cassidy Physician Assistant 1055 Dresser Ct, Raleigh, NC 27609-7323 2006-09-20
1356388342 John Michael Cassidy Internal Medicine 6151 S Yale Ave, Suite 400, Tulsa, OK 74136-1907 2006-05-31
1487627899 John E Cassidy Physician Assistant 1 Elm St, Ludlow, VT 05149-1301 2006-02-08

Office Location

Street Address 375 ORLEANS ST E
City STILLWATER
State MN
Zip Code 55082-5830

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669495453 Barbara Walker Psychologist 375 Orleans St E, Stillwater, MN 55082-5830 2006-07-25
1972100675 Michael John Mader Counselor 375 Orleans St E, Stillwater, MN 55082-5830 2020-10-06
1962015644 Saydie Farmer Social Worker 375 Orleans St E, Stillwater, MN 55082-5830 2020-08-24
1710523972 Holly Heaser Counselor 375 Orleans St E, Stillwater, MN 55082-5830 2019-11-22
1003372582 Lindsey Rae Sommer Counselor 375 Orleans St E, Stillwater, MN 55082-5830 2019-02-20
1770072548 Denise Nicole Schmidt Counselor 375 Orleans St E, Stillwater, MN 55082-5830 2018-05-07
1316495831 Margaret Berry Counselor 375 Orleans St E, Stillwater, MN 55082-5830 2016-09-13
1891168910 Mary A Popelka Counselor 375 Orleans St E, Stillwater, MN 55082-5830 2015-11-11
1114204724 Duane M Carlson Counselor 375 Orleans St E, Stillwater, MN 55082-5830 2011-11-10
1124331079 Tracey Rae Bishop Counselor 375 Orleans St E, Stillwater, MN 55082-5830 2010-07-21
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1073001624 Lindsay Beth Briggs Chiropractor 200 Chestnut St E, Ste 202, Stillwater, MN 55082 2018-04-30
1578932943 Group Health Plan, Inc Family Medicine 921 Greeley Street, Stillwater, MN 55082 2015-09-16
1184001919 Grant Rohrig Specialist/Technologist 8727 Jeffrey Ave North, Stillwater, MN 55082 2015-04-30
1346688991 Kellie Ann Seth Chiropractor 200 Chestnut St E Ste 202, Stillwater, MN 55082 2013-06-05
1770928426 Rivertown Animal Hospital Veterinarian 135 New England Place, Stillwater, MN 55082 2013-05-08
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316555188 Hope Counseling LLC Counselor 1903 Greeley St S Ste 201, Stillwater, MN 55082-6279 2020-07-17
1255856928 Julie Ann Moylan Counselor 116 Chestnut St E # 150, Stillwater, MN 55082-5116 2017-08-03
1467805630 Katrina Koren Counselor 2a Gurba Dr, Stillwater, NY 12170-1213 2016-07-22
1225475643 David Fried Counselor 2602 Shinnery Ct, Stillwater, OK 74074-7407 2013-05-24
1427329184 Sandrel Jones-webster Counselor 717 S Hester St, Stillwater, OK 74074-4520 2012-01-25
1972871481 Tammy Lynn Richmond Counselor 1804 S Perkins Rd, Stillwater, OK 74074-7939 2011-12-12
1841568110 Kelly L Cullen Counselor 3686 Abercrombie Ln, Stillwater, MN 55082-4194 2011-12-01
1104106749 Tamara S. Defranc Counselor 1624 Cimarron Plz, Stillwater, OK 74075-3467 2011-08-26
1114216959 Kara Sue Niccum Counselor 320 Student Union, Stillwater, OK 74078 2011-04-01
1346567245 Debra Lynn Haney-carr Counselor 715 Pecan Hill St, Stillwater, OK 74074-1183 2010-05-01
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Competitor

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City STILLWATER
Zip Code 55082

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Dataset Information

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.

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