KEVIN CASSIDY (NPI# 1730500224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730500224 |
| Entity Type | Individual |
| Full Name | KEVIN CASSIDY |
| Credential | CADC-II |
| Practice Address |
730 Sunrise Ave 250 Roseville CA 95661-4567 |
| Mailing Address |
730 Sunrise Ave Ste 201 Roseville CA 95661-4553 |
| Practice Telephone | 9167823737 |
| Practice Fax Number | 9167874359 |
| Mailing Telephone | 9167823737 |
| Mailing Fax Number | 9167873739 |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2020-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
A03740315 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1530 3rd St Ste 106, Lincoln, CA 956482500 | 9164348927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215196464 | Kevin Cassidy | Orthopaedic Surgery | 600 Northern Blvd, Suite 300, Great Neck, NY 11021-5206 | 2008-06-03 |
| 1629101233 | Kevin M. Cassidy | Social Worker | 515 Keisler Dr, Suite 104, Cary, NC 27518-7097 | 2007-03-13 |
| 1841393360 | Kevin John Cassidy | Dentist | 585 Tahoe Keys Blvd, Ste 2, South Lake Tahoe, CA 96150 | 2006-09-07 |
| 1992764104 | Kevin James Cassidy | Physical Therapist | 4358 Ferguson Dr, Suite 200, Cincinnati, OH 45245-1680 | 2006-03-17 |
| 1700865516 | Kevin Michael Cassidy | Dentist | 2301 Sw 6th Ave, Topeka, KS 66606-1759 | 2006-01-10 |
| Street Address |
730 SUNRISE AVE 250 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-4567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740357706 | James Robert Dow | Dentist | 730 Sunrise Ave, Suite 110, Roseville, CA 95661-4549 | 2006-11-28 |
| 1487280111 | Jennifer Shelby | Counselor | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2020-03-13 |
| 1437797818 | Teresa L Donato | Counselor | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2019-12-16 |
| 1366086977 | Martha W Linn | Licensed Vocational Nurse | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2019-11-06 |
| 1861046690 | Jordan Blackwell | Behavior Technician | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2019-07-30 |
| 1942860788 | Katherine Jane Hughes | Counselor | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2019-06-14 |
| 1417514092 | Ann Mushlitz Hawken | Counselor | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2019-05-20 |
| 1073176335 | Daniel Michael Martinez | Counselor | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2019-04-22 |
| 1306306733 | Gary Tyrone Hill | Counselor | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2019-03-21 |
| 1285112565 | Michael James Stubblefield | Counselor | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2018-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013575364 | William Henry Hoffman IIi | Counselor | 2467 Sheldon St, Roseville, MN 55113-3138 | 2019-06-02 |
| 1962987560 | Bradley Thomas Conley | Counselor | 2233 Hamline Ave N Ste 110, Roseville, MN 55113-5002 | 2018-09-28 |
| 1386156065 | Gina M Nunez | Counselor | 730 Sunrise Ave Ste 200-201, Roseville, CA 95661-4567 | 2017-11-02 |
| 1023540515 | Dawn New Awakening LLC | Counselor | 26316 Ronald St, Roseville, MI 48066-4458 | 2017-04-03 |
| 1962809699 | Michael Walsh Gannon | Counselor | 109 Cloud Touch Ct, Roseville, CA 95747-7116 | 2014-11-24 |
| 1700210218 | Ozlem Tekelioglu | Counselor | 1133 Coloma Way Suite C, Roseville, CA 95661 | 2013-09-03 |
| 1114369816 | Amanda Macmillan | Counselor | 101 Cirby Hills Drive, Roseville, CA 95678 | 2013-07-23 |
| 1316295082 | Pes-ebs.inc. | Counselor | 340 Lincoln St, Roseville, CA 95678-2230 | 2012-08-28 |
| 1871860890 | Raymond Richard Evans | Counselor | 2499 Rice Street, Roseville, MN 55113 | 2011-11-18 |
| 1023308079 | Jennica Rachel Jenkins | Counselor | 1899 E Roseville Pkwy Ste 140, Roseville, CA 95661-7980 | 2011-04-12 |
| Find all providers in ROSEVILLE | ||||
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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.