DR. JEFFREY E CASSISI (NPI# 1396899100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396899100 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY E CASSISI |
| Credential | PH.D. |
| Practice Address |
1200 Murchison Rd Dept of Psychology, Fayetteville State University Fayetteville NC 28301-4252 |
| Mailing Address |
3201 Bentwillow Dr Fuquay Varina NC 27526-8686 |
| Practice Telephone | 9106721577 |
| Practice Fax Number | 9106721043 |
| Mailing Telephone | 9198899625 |
| Mailing Fax Number | 9106721043 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PY 3989 | FL | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
#3120 | NC | Behavioral Health & Social Service Providers |
| Street Address |
1200 MURCHISON RD DEPT OF PSYCHOLOGY, FAYETTEVILLE STATE UNIVERSITY |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-4252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180903 | Kenneth Lassiter | Physical Medicine & Rehabilitation | 1200 Murchison Rd, Fayetteville, NC 28301-4252 | 2020-10-01 |
| 1548883325 | Gloria Shadell Wells | Counselor | 1200 Murchison Rd, Fayetteville, NC 28301-4252 | 2020-05-27 |
| 1528547718 | Fayetteville State University | Pharmacy | 1200 Murchison Rd, Fayetteville, NC 28301-4252 | 2018-08-09 |
| 1063990281 | Fayetteville State University | Clinic/Center | 1200 Murchison Rd, Fayetteville, NC 28301-4252 | 2018-07-31 |
| 1609244482 | Erica Campbell | Counselor | 1200 Murchison Rd, Fayetteville, NC 28301-4252 | 2015-09-10 |
| 1861755258 | Carlitta Michelle Moore | Specialist/Technologist | 1200 Murchison Rd, Fayetteville, NC 28301-4252 | 2012-06-20 |
| 1093947228 | Marjorie Stokes | Registered Nurse | 1200 Murchison Rd, Fayetteville, NC 28301-4252 | 2009-08-21 |
| 1538353404 | Indira Tyler | Registered Nurse | 1200 Murchison Rd, Fayetteville, NC 28301-4252 | 2007-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| Find all providers in zip 28301 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154969657 | Kathleen Ratcliff Andrews | Psychologist | 2300 Ramsey St # B51t, Fayetteville, NC 28301-3856 | 2019-12-16 |
| 1740757731 | Dia Boutwell | Psychologist | 125 Howard Ln Ste B, Fayetteville, GA 30215-1853 | 2018-10-27 |
| 1265950034 | Elizabeth Chaisson | Psychologist | 1 W Mountain St Ste 307, Fayetteville, AR 72701-6068 | 2017-08-31 |
| 1922470020 | Savanna Cloer Mccain Phd, Pa | Psychologist | 4257 N Gabel Dr # 2b, Fayetteville, AR 72703-5004 | 2015-10-28 |
| 1538578992 | Nicole Dreiling | Psychologist | 351 Wagoner Dr Ste 130, Fayetteville, NC 28303-4669 | 2014-08-10 |
| 1255627717 | Colleen Quinn | Psychologist | 200 Mason St, 2nd Floor, Fayetteville, NC 28301-5041 | 2011-06-23 |
| 1518278373 | Ingrid Jacobs | Psychologist | 1 E Center St Ste 333, Fayetteville, AR 72701-5349 | 2010-06-27 |
| 1427372119 | Sandra V Heinsz | Psychologist | 290 Ashborough Park, Fayetteville, GA 30215-6514 | 2010-03-24 |
| 1134361546 | Elizabeth E Knowles, Ph.d., Pa | Psychologist | 4241 N Gabel Dr, Fayetteville, AR 72703-5004 | 2009-03-31 |
| 1982846671 | Louis P. Anderson | Psychologist | 120 Michael Ct, Fayetteville, GA 30215-1846 | 2009-03-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
Please comment or provide details below to improve the information on DR. JEFFREY E CASSISI.
| 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.