Joseph Wassif

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

PSYPP-203519 Issued in ID

Practice address

606 N Third Ave Ste 203
Sandpoint, ID 83864-1691

Phone

(208) 265-1090

NPI assigned

Dec 7, 2015

Last updated

Sep 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boundary Regional Community Health Center IncGroup PAC ID 2264341221, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: joseph.wassif.1@32745.direct.athenahealth.com

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.

• Boundary Regional Community Health Center, Inc.

  dba Kaniksu Community Health

  • Federally Qualified Health Center (FQHC)
  • Priest River, ID
  • NPI 1538447727
  Medicare reassignment Care Compare group NPD
• Bonner General Hospital Inc.

  dba Bonner General Health

  • Critical Access Hospital
  • Sandpoint, ID
  • NPI 1154563963
  NPD
• Bonner General Hospital, Inc

  dba Bonner General Behavioral Health

  • Psychiatry Physician
  • Sandpoint, ID
  • NPI 1982112660

  Counseling

  NPD
• Boundary Regional Community Health Center Inc

  dba Kaniksu Community Health

  • Community/Retail Pharmacy
  • Sandpoint, ID
  • NPI 1780349241
  NPD
• Boundary Regional Community Health Center Inc

  dba Kaniksu Community Health

  • Federally Qualified Health Center (FQHC)
  • Bonners Ferry, ID
  • NPI 1306883244
  NPD (past)
• Boundary Regional Community Health Center, Inc.

  dba Kaniksu Community Health

  • Federally Qualified Health Center (FQHC)
  • Sandpoint, ID
  • NPI 1316343320
  NPD (past)

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1144695818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S LINCOLN AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838648312",
            "telephone_number": "304-216-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N THIRD AVE STE 203",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641691",
            "telephone_number": "208-265-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSIF",
        "first_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-07",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "ID",
            "license": "PSY203081",
            "primary": false
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "ID",
            "license": "PSYPP-203519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Christine Walden, ANLC IBCLC BSL BSN
• Wanda G. Fox (Tohidu Mental Health)
• James Wandler, LPC
• Cindy Wanek
• James Russell Wanek, RPH
• Gloria Jennings Waterhouse, PHD
• Jeremy J Waters, M.D.
• Kara R Waters, D.O
• Watershed Wellness, LLC
• James Harvey Watts III, M.D.

• Prescribing (Medical) Psychologist in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Prescribing (Medical) Psychologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.