Provider Demographics
NPI:1639805120
Name:BEHSETA, CASSANDRA CRANE (PMHNP)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:CRANE
Last Name:BEHSETA
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 MEADOWVIEW EST
Mailing Address - Street 2:
Mailing Address - City:MITCHELL
Mailing Address - State:IN
Mailing Address - Zip Code:47446-6753
Mailing Address - Country:US
Mailing Address - Phone:812-583-8764
Mailing Address - Fax:
Practice Address - Street 1:1401 N TAFT ST APT 1001
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-2653
Practice Address - Country:US
Practice Address - Phone:812-583-8764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-27
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA00241847202084P0800X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0024184720OtherVIRGINIA BON