OrganizationActive
Jennie Cassidy Psychologist LLC
NPI 1447884705 · Mental Health Clinic/Center (Including Community Mental Health Center) · Conway, SC
Provider details
- NPI number
- 1447884705
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennie Cassidy, Psychologist/Owner(843) 685-0264
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1511 9th Ave Ste C
Conway, SC 29526-4126
Phone: (843) 685-0264
Fax: (843) 748-0448
Street-level locationGet directions
Mailing address
1192 Jumper Trail Cir
Myrtle Beach, SC 29588-5289
Other names (DBA / former)
- Doing business as
- Jennie Cassidy Psychologist LLC
Registry dates
- Enumerated
- 2020-02-26
- Last updated
- 2020-02-26
- Certified
- 2020-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.