DR. ELIZABETH CASSANOS (NPI# 1992123905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992123905 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH CASSANOS |
| Credential | PH.D. |
| Practice Address |
1144 Sonoma Ave Santa Rosa CA 95405-4812 |
| Mailing Address |
2408 Forse Ln Santa Rosa CA 95404-7807 |
| Practice Telephone | 7077993825 |
| Mailing Telephone | 7077993825 |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2015-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 26317 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1144 SONOMA AVE |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-4812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609866888 | Jeffrey D. Bean | Dentist | 1144 Sonoma Ave, St. 102, Santa Rosa, CA 95405-4812 | 2005-10-27 |
| 1952837155 | Dental Group of Emine Loxley, Dds, Inc | Clinic/Center | 1144 Sonoma Ave, #107, Santa Rosa, CA 95405-4812 | 2017-05-08 |
| 1407219355 | Tina Marie Kelly | Marriage & Family Therapist | 1144 Sonoma Ave, Suite 104, Santa Rosa, CA 95405-4812 | 2016-03-29 |
| 1033594783 | Edward A Biery | Psychologist | 1144 Sonoma Ave, Ste 104, Santa Rosa, CA 95405-4812 | 2015-07-23 |
| 1366820474 | Jennifer E. Blum | Psychologist | 1144 Sonoma Ave, 104, Santa Rosa, CA 95405-4812 | 2015-05-08 |
| 1467847103 | Rafael Miguel Diaz | Psychologist | 1144 Sonoma Ave, Suite 104, Santa Rosa, CA 95405-4812 | 2015-03-31 |
| 1518370519 | Dena Nicole Dimond | Nurse Practitioner | 1144 Sonoma Ave, Ste 119, Santa Rosa, CA 95405-4812 | 2014-06-06 |
| 1679882880 | Dorothy Marie Mandel | Psychologist | 1144 Sonoma Ave, Ste 117, Santa Rosa, CA 95405-4812 | 2010-10-05 |
| 1225346398 | Tina Louise Sandoval-dyer | Marriage & Family Therapist | 1144 Sonoma Ave, Suite 117, Santa Rosa, CA 95405-4812 | 2010-09-22 |
| 1760717441 | North Coast Faculty Medical Group Inc. | Otolaryngology | 1144 Sonoma Ave, 101, Santa Rosa, CA 95405-4812 | 2009-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| 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 |
|---|---|---|---|---|
| 1861921991 | Jose L Rodriguez | Psychologist | 1260 N Dutton Ave Ste 225, Santa Rosa, CA 95401-7156 | 2017-06-12 |
| 1821402132 | Sonya Maria Kelly | Psychologist | 3558 Round Barn Blvd, Suite 200, Santa Rosa, CA 95403 | 2014-06-13 |
| 1396019741 | Alisa Liguori Stratton | Psychologist | 320 10th St Ste 301, Santa Rosa, Santa Rosa, CA 95401-5291 | 2012-03-02 |
| 1679897219 | Mary Deyo | Psychologist | 725 Farmers Ln Ste 15, Santa Rosa, CA 95405-6743 | 2010-03-25 |
| 1881825537 | Sheila Blythe Dickson | Psychologist | 3561 Phillips Ave, Santa Rosa, CA 95407-8075 | 2009-07-29 |
| 1689804460 | Carolyn Fershtman | Psychologist | 401 South A Street, Santa Rosa, CA 95401 | 2009-07-15 |
| 1912132655 | Albert Joseph Kastl | Psychologist | 1107 Sonoma Avenue, Santa Rosa, CA 95405-4805 | 2009-05-26 |
| 1245465335 | Mark A Clementi | Psychologist | 50 Old Courthouse Sq Ste 400, Santa Rosa, CA 95404-4924 | 2009-05-19 |
| 1487847836 | Lezlie Scaliatine | Psychologist | 1625 Terrace Way, Ste C, Santa Rosa, CA 95404-3035 | 2007-08-20 |
| 1790983724 | Richard Grant Busse | Psychologist | 315 College Avenue, Santa Rosa, CA 95401 | 2007-07-11 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
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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.