CASSANDRA HERBERT APRN/PMH-BC
NPI 1356630024
Clinical Nurse Specialist - Psychiatric/Mental Health, Adult in Ellicott City, MD

Active since April 04, 2011Opted out of Medicare · through Jul 1, 2028
5026 DORSEY HALL DR, SUITE 205, ELLICOTT CITY, MD 21042(410) 415-1454 Get Directions Write a Review

NPPES record last updated: December 4, 2012. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Cassandra Herbert Aprn/pmh-bc NPPES

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

CASSANDRA HERBERT APRN/PMH-BC (NPI 1356630024) is an individual psychiatric/mental health, adult provider in Ellicott City, Maryland, licensed in Maryland (R148305) and active in the NPI registry since April 2011. She has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1356630024
Entity TypeIndividualFemale
Primary Taxonomy364SP0809X
Provider Legal NameCASSANDRA HERBERTCredential: APRN/PMH-BC
Location Address5026 DORSEY HALL DR, SUITE 205Ellicott City, MD 21042-7852
Mailing Address3756 Angelton CtBurtonsville, MD 20866-2059
Sole ProprietorYes
Enumeration DateApril 4, 2011
Last NPPES UpdateDecember 4, 2012
✔ NPI 1356630024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, AdultPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0809X
License✔ Licensed in MD · R148305
Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X · License R148305 (MD)
5026 DORSEY HALL DR, Ellicott City, MD 21042

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Cassandra Herbert Aprn/pmh-bc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2024 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2024
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Cassandra Herbert's NPI number?

The NPI number for Cassandra Herbert is 1356630024. It was assigned to this individual provider in the NPPES registry on April 4, 2011.

Where is Cassandra Herbert located?

Cassandra Herbert practices at 5026 Dorsey Hall Dr Suite 205, Ellicott City, MD 21042. The listed phone number is (410) 415-1454.

What is Cassandra Herbert's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 364SP0809X.

Is Cassandra Herbert enrolled in Medicare?

No. Cassandra Herbert has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Cassandra Herbert was last updated on December 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.