Provider Demographics
NPI:1649717042
Name:HUTCHINS, CASSANDRA (PSYD)
Entity type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:
Last Name:HUTCHINS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 MORRIS TPKE FL 4
Mailing Address - Street 2:
Mailing Address - City:SHORT HILLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07078-2625
Mailing Address - Country:US
Mailing Address - Phone:862-800-7406
Mailing Address - Fax:862-205-2466
Practice Address - Street 1:830 MORRIS TPKE FL 4
Practice Address - Street 2:
Practice Address - City:SHORT HILLS
Practice Address - State:NJ
Practice Address - Zip Code:07078-2625
Practice Address - Country:US
Practice Address - Phone:862-800-7406
Practice Address - Fax:862-205-2466
Is Sole Proprietor?:No
Enumeration Date:2017-01-23
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ163107103TC0700X, 103TF0200X, 103TR0400X
NJ6032103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation