Provider Demographics
NPI:1902542707
Name:DR. CASSANDRA HUTCHINS LLC
Entity Type:Organization
Organization Name:DR. CASSANDRA HUTCHINS LLC
Other - Org Name:THE CASS CENTER FOR PSYCHOLOGICAL AND HOLISTIC WELLBEING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUTCHINS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:862-800-7406
Mailing Address - Street 1:830 MORRIS TURNPIKE
Mailing Address - Street 2:STE.407
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078
Mailing Address - Country:US
Mailing Address - Phone:862-800-7406
Mailing Address - Fax:
Practice Address - Street 1:830 MORRIS TURNPIKE
Practice Address - Street 2:STE.407
Practice Address - City:SHORT HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07078-2620
Practice Address - Country:US
Practice Address - Phone:862-800-7406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-05
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1649717042OtherNPI