DR. DOMENICK TIRABASSI IV PSYD
NPI 1023662459
Psychologist in Fond Du Lac, WI
About Dr. Domenick Tirabassi Iv Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DOMENICK TIRABASSI IV PSYD (NPI 1023662459) is an individual psychologist in Fond Du Lac, Wisconsin, licensed in Wisconsin (5089-57) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Domenick Tirabassi Iv Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FOND DU LAC, WI 54935
FOND DU LAC, WI 54935
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Domenick Tirabassi's NPI number?
The NPI number for Domenick Tirabassi is 1023662459. It was assigned to this individual provider in the NPPES registry on July 24, 2019.
Where is Domenick Tirabassi located?
Domenick Tirabassi practices at 420 E Division St, Fond Du Lac, WI 54935. The listed phone number is (920) 926-8492.
What is Domenick Tirabassi's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Domenick Tirabassi enrolled in Medicare?
Yes. Domenick Tirabassi is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Domenick Tirabassi was last updated on August 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.