Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cassandra Mary Nicotra

Individual provider Child & Adolescent Psychiatry Physician · NPI 1538684725

Cassandra Mary Nicotra is a Child & Adolescent Psychiatry Physician in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2017

Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (215) 590-6267
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence OS023869 (PA)

Record details

NPI number1538684725
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 8, 2017
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024

Other providers in Philadelphia