Active NPI
Nancy T. Dassoff, PH.D.
- Clinical Psychologist
- Colorado Springs, CO
National Provider Identifier
1093727430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071004945
- Practice address
- 3625 Parkmoor Village Dr
Colorado Springs, CO 80917-5205 - Phone
- (888) 948-6789
- Fax
- (877) 345-3501
- NPI assigned
- Aug 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 071004945 | IL | |
| Clinical Psychologist | 103TC0700X | 071004945 | IL | Primary |
Addresses
Primary practice location
3625 Parkmoor Village Dr
Colorado Springs, CO 80917-5205
Mailing address
4860 Robb St Ste 201
Wheat Ridge, CO 80033-2162
Phone (888) 948-6789
Other practice location 1
818 Harrison St
Oak Park, IL 60304-1144
Phone (773) 715-5425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071004945 | IL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600128000000",
"number": "1093727430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4860 ROBB ST STE 201",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800332162",
"telephone_number": "888-948-6789",
"fax_number": "877-345-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 PARKMOOR VILLAGE DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809175205",
"telephone_number": "888-948-6789",
"fax_number": "877-345-3501"
}
],
"practiceLocations": [
{
"address_1": "818 Harrison St",
"address_purpose": "LOCATION",
"city": "Oak Park",
"state": "IL",
"postal_code": "603041144",
"country_code": "US",
"telephone_number": "773-715-5425",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DASSOFF",
"first_name": "NANCY",
"middle_name": "T.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "071004945",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071004945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.