DR. CASSANDRA L WANZO (NPI# 1518914217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518914217 |
| Entity Type | Individual |
| Full Name | DR. CASSANDRA L WANZO |
| Other Name | DR. CASSANDRA L WANZO |
| Credential | MD |
| Practice Address |
602 Bombay Ln Roswell GA 30076-5828 |
| Practice Telephone | 6785661440 |
| Practice Fax Number | 6785661442 |
| Mailing Telephone | 6785661440 |
| Mailing Fax Number | 6785661442 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2015-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
035165 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
602 BOMBAY LN |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-5828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912377433 | Cassandra Wanzo Md PC | Psychiatry & Neurology | 602 Bombay Ln, Roswell, GA 30076-5828 | 2015-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386283943 | Luxe Psychiatric and Wellness Services LLC | Psychiatry & Neurology | 613 W 2nd St Ste 3, Roswell, NM 88201-4671 | 2019-12-31 |
| 1780176891 | Michael J Rosen Md Pllc | Psychiatry & Neurology | 800 Old Roswell Lakes Pkwy Ste 250, Roswell, GA 30076-8614 | 2018-06-04 |
| 1063891307 | Lynnet M Bulambo | Psychiatry & Neurology | 613 W 2nd St # 1&3, Roswell, NM 88201-4671 | 2015-05-20 |
| 1265774830 | Paul Everett Beecham | Psychiatry & Neurology | 11457 Hackett Rd, Roswell, GA 30075-2307 | 2013-03-21 |
| 1053555359 | Amy Lee Hostetter | Psychiatry & Neurology | 115 Vickery St Ste 100, Roswell, GA 30075-4977 | 2009-04-30 |
| 1760675466 | Stephen Neil Kissinger | Psychiatry & Neurology | 2060 Riverside Rd, Roswell, GA 30076-4026 | 2007-08-26 |
| 1871623819 | Glen H Havens | Psychiatry & Neurology | 11113 Houze Rd, Suite 100, Roswell, GA 30076 | 2007-03-07 |
| 1437214350 | Consuelo Reddick | Psychiatry & Neurology | 77 E Crossville Rd, Ste. 206, Roswell, GA 30075-5815 | 2006-12-22 |
| 1093873432 | Osama S. Hindash | Psychiatry & Neurology | 801 Macy Dr, Roswell, GA 30076-6333 | 2006-12-05 |
| 1831273036 | Mohammad Ahmad | Psychiatry & Neurology | 1902 Macy Drive, Atlanta Behavioral Medicine Inc, Roswell, GA 30076 | 2006-10-24 |
| Find all providers in ROSWELL | ||||
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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.