MEDICARE: DR. CASSANDRA HAAS PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	P.07973	OH
2	103TC0700X	Clinical Psychologist	P.07973	OH

General Provider Information

NPI Number	:	1134081672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CASSANDRA HAAS PSY.D.

Provider Business Mailing Address
First Line	:	3000 ARLINGTON AVE STOP 1108
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-2595
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1735 W ROCKET DR
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43606-8806
Country	:	US
Telephone Number	:	419-530-2426
Fax Number	:	419-530-3499

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	02/04/2026

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