Individual provider Active NPI

Rachel Hummel-Sass, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Tiffin, OH
National Provider Identifier
1003295627
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
7295 Issued in OH
Practice address
200 Saint Francis Ave
Tiffin, OH 44883-3458
Phone
(419) 455-6891
NPI assigned
May 28, 2015
Last updated
Oct 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 7295 OH Primary

Addresses

Primary practice location

200 Saint Francis Ave
Tiffin, OH 44883-3458

Mailing address

PO Box 954
Tiffin, OH 44883-0954
Phone (419) 455-6891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160302002233 OH Practitioner - Clinical Psychologist 9638475569 Practice locations: Bluffton, OH; Tiffin, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Saint Francis Ave
Tiffin, OH 44883-3458
Phone (419) 455-6891

PO Box
Suite 954
Tiffin, OH 44883-0954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Psychological Services of Northwest Ohio, LLC Clinical Child & Adolescent CurrentSince Sep 11, 2022 Accepting new patients
Laurel N. Weaver PastSince Mar 5, 2023 Accepting new patients
Rachel Hummel-Sass, Psy.D., LLC PastSince Jan 1, 2016 Accepting new patients

Locations

200 Saint Francis Ave
Tiffin, OH 44883
Phone (419) 455-6891

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1003295627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 954",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448830954",
            "telephone_number": "419-455-6891",
            "fax_number": "419-710-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SAINT FRANCIS AVE",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448833458",
            "telephone_number": "419-455-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMMEL-SASS",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-28",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OH",
            "license": "7295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

Verify at the official NPI Registry.