Wellformed AI

NPI 1477858280 · live from the CMS NPI Registry

Kristi L Cassleman, D.O.

Psychiatry & Neurology, Psychiatry in Hampton, VA. National Provider Identifier 1477858280, active.

NPI record

NPI1477858280 Type 1 · individual
StatusActive
Primary specialtyPsychiatry & Neurology, Psychiatry 2084P0800X
Practice location2244 Executive Dr, Hampton, VA 23666
Practice phone757-827-1001
Mailing address856 J Clyde Morris Blvd Ste A, Newport News, VA 23601
EnumeratedJanuary 26, 2011
Last updatedApril 6, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatry & Neurology, Psychiatry primary2084P0800X0102202884 (VA)
Psychiatry & Neurology, Psychiatry2084P0800XDR0060547 (CO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.