Provider Demographics
NPI:1639555907
Name:CASS, ALDEN MARC (PSYD)
Entity Type:Individual
Prefix:MR
First Name:ALDEN
Middle Name:MARC
Last Name:CASS
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:757 3RD AVENUE - 20TH FLOOR
Mailing Address - Street 2:
Mailing Address - City:NYC
Mailing Address - State:NY
Mailing Address - Zip Code:10017
Mailing Address - Country:US
Mailing Address - Phone:646-600-9011
Mailing Address - Fax:646-202-9610
Practice Address - Street 1:757 3RD AVENUE - 20TH FLOOR
Practice Address - Street 2:
Practice Address - City:NYC
Practice Address - State:NY
Practice Address - Zip Code:10017
Practice Address - Country:US
Practice Address - Phone:646-600-9011
Practice Address - Fax:646-202-9610
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-10
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015595103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral