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DR. CASSIDY AZZOW PSYD
NPI 1093500449
Psychologist - Clinical in Detroit, MI

Active since April 14, 2025
4646 JOHN R ST, DETROIT, MI 48201(313) 576-1000 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Cassidy Azzow Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CASSIDY AZZOW PSYD (NPI 1093500449) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6362009075) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1093500449
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CASSIDY AZZOWCredential: PSYD
Location Address4646 JOHN R STDetroit, MI 48201-1916
Mailing Address53772 Regency Hills CtShelby Twp, MI 48316-2047 · (248) 829-0917
Phone(313) 576-1000
Sole ProprietorNo
Enumeration DateApril 14, 2025
NPPES CertifiedApril 14, 2025
✔ NPI 1093500449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6362009075
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4646 JOHN R ST, Detroit, MI 48201
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YURIJ CHERSTYLO
Student in an Organized Health Care Education/Training Program
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
NAVITHA LONAPPAN
Registered Nurse (Medical-Surgical)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
SHARI KABETH RN
Registered Nurse (Gastroenterology)
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
DEREK CURTIS THAMARUS
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1294
MOLLY GEORGE
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1316
EDWIN RAYMOND MILLER
Registered Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
MR. EDWIN INTIG LOON JR.
Licensed Practical Nurse
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000
ASHLEY NICOLE DANIELS MDIV
Religious Nonmedical Practitioner
4646 JOHN R ST
DETROIT, MI 48201
Wayne County (313) 576-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cassidy Azzow's NPI number?

The NPI number for Cassidy Azzow is 1093500449. It was assigned to this individual provider in the NPPES registry on April 14, 2025.

Where is Cassidy Azzow located?

Cassidy Azzow practices at 4646 John R St, Detroit, MI 48201. The listed phone number is (313) 576-1000.

What is Cassidy Azzow's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Cassidy Azzow was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.