CASSIE M GREEN (NPI# 1457786485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457786485 |
| Entity Type | Individual |
| Full Name | CASSIE M GREEN |
| Credential | PSYD |
| Practice Address |
1577 Congress St Portland ME 04102-2169 |
| Mailing Address |
27 Hawthorne Ln South Portland ME 04106-6935 |
| Practice Telephone | 2076625522 |
| Mailing Telephone | 2075904171 |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2020-07-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | ME | Behavioral Health & Social Service Providers | |
| N | 174400000X | Specialist | PSY.0004257 | CO | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 S Mccaslin Blvd, Suite 212, Louisville, CO 800279731 | 7202874435 | |
| 1068 S 88th St Ste A, Louisville, CO 800279459 | 7202874435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003050501 | Cassie Lauren Green | Speech-Language Pathologist | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2009-04-28 |
| Street Address |
1577 CONGRESS ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-2169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386602290 | Melanie Lynne Leu | Family Medicine | 1577 Congress St, Portland, ME 04102 | 2006-05-02 |
| 1548730567 | Peds Coverage PC | Pediatrics | 1577 Congress St, Portland, ME 04102-2169 | 2018-12-03 |
| 1013328871 | Kassi Marie Swallow | Dietitian, Registered | 1577 Congress St, Portland, ME 04102-2169 | 2014-05-15 |
| 1023454089 | Samantha Dunn | Pediatrics | 1577 Congress St, Portland, ME 04102-2169 | 2013-05-17 |
| 1942544580 | Erika Lynn North | Psychologist | 1577 Congress St, Portland, ME 04102-2169 | 2012-11-20 |
| 1215211487 | Johanna H. Anderson | Social Worker | 1577 Congress St, 1st Floor, Portland, ME 04102-2169 | 2011-10-05 |
| 1497075592 | Amy E Vincent-cross | Social Worker | 1577 Congress St, Portland, ME 04102 | 2010-06-11 |
| 1376777136 | Catherine S Curry | Pediatrics | 1577 Congress St, Portland, ME 04102-2169 | 2009-05-08 |
| 1376736579 | Amanda S Evans Powell | Social Worker | 1577 Congress St, 1st Floor, Portland, ME 04102-2169 | 2007-08-21 |
| 1487868394 | David Walter | Psychiatry & Neurology | 1577 Congress St, Portland, ME 04102-2133 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1811518434 | Nathaniel Israel | Psychologist | 7419 Se Woodstock Blvd, Portland, OR 97206-5838 | 2020-05-05 |
| 1477112480 | Stella Beatriz Kerl-mcclain | Psychologist | 2826 Sw Ridge Dr, Portland, OR 97219-6205 | 2019-06-12 |
| 1184281438 | Nicholas Alexander Schollars | Psychologist | 3050 Se Division St # 215, Portland, OR 97202-1451 | 2019-05-22 |
| 1639637432 | Bayside Psychology and Consulting, LLC | Psychologist | 1 Union St Ste 402, Portland, ME 04101-4048 | 2019-03-11 |
| 1942766985 | Alexandra R. Lash | Psychologist | 386 Fore St, Portland, ME 04101-4047 | 2019-02-14 |
| 1811416068 | Matthew Lundeberg | Psychologist | 10300 Sw Greenburg Rd Ste 271, Portland, OR 97223-5415 | 2017-09-19 |
| 1083130991 | Tawayne Nolen Malone Jr. | Psychologist | 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 | 2017-08-22 |
| 1093241838 | Dr Patricia Clark | Psychologist | 1132 Sw 19th Ave, Portland, OR 97205-1740 | 2017-05-11 |
| 1639527575 | Randall David Wright | Psychologist | 1827 Ne 44th Ave Ste 320, Portland, OR 97213-1443 | 2016-06-01 |
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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.