Provider Demographics
NPI:1093978439
Name:MCCASKEY, XAVIER MARQUIS (PHD)
Entity Type:Individual
Prefix:DR
First Name:XAVIER
Middle Name:MARQUIS
Last Name:MCCASKEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3100 GENTIAN BLVD STE 8A
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31907-5639
Mailing Address - Country:US
Mailing Address - Phone:706-530-8756
Mailing Address - Fax:470-552-2767
Practice Address - Street 1:3100 GENTIAN BLVD STE 8A
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31907-5639
Practice Address - Country:US
Practice Address - Phone:706-530-8756
Practice Address - Fax:470-552-2767
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA509630101Y00000X
GAGA- CPD0016101YA0400X
VT068.0134348101YM0800X
PAPCO13988101YM0800X
GA839101YP1600X
GALPC007918101YP2500X
103T00000X, 103TB0200X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral