KASSIDY SANDY-BOURNE
NPI 1861977449
Behavior Technician in Melville, NY
About Kassidy Sandy-bourne NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KASSIDY SANDY-BOURNE (NPI 1861977449) is an individual behavior technician in Melville, New York and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kassidy Sandy-bourne is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kassidy Sandy-bourne reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11235
- Reassigned Medicare billing, New York enrollment
- 436 clinicians in this Medicare group
Brooklyn, NY 11201
- Reassigned Medicare billing, New York enrollment
- 457 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Kassidy Sandy-bourne's NPI number?
The NPI number for Kassidy Sandy-bourne is 1861977449. It was assigned to this individual provider in the NPPES registry on September 28, 2018.
Where is Kassidy Sandy-bourne located?
Kassidy Sandy-bourne practices at 225 Broadhollow Rd Ste 402, Melville, NY 11747. The listed phone number is (631) 385-7780.
What is Kassidy Sandy-bourne's specialty?
The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.
Is Kassidy Sandy-bourne enrolled in Medicare?
Yes. Kassidy Sandy-bourne is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kassidy Sandy-bourne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kassidy Sandy-bourne reassigns Medicare benefits to 2 organizations: Knapp Street Psychiatry, PC (Brooklyn, NY) and Che Senior Psychological Services, PC (Brooklyn, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kassidy Sandy-bourne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kassidy Sandy-bourne accept?
Health plans from Oscar Health list Kassidy Sandy-bourne as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kassidy Sandy-bourne was last updated on July 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.