Individual provider Active NPI

Joseph Assouline, PSYD

  • Psychologist
  • Napa, CA
National Provider Identifier
1265796544
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
29720 Issued in CA
Practice address
2100 Napa Vallejo Hwy.
Napa, CA 94558-6293
Phone
(707) 253-5654
Fax
(707) 253-5097
NPI assigned
Jul 1, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 29720 CA Primary

Addresses

Primary practice location

2100 Napa Vallejo Hwy.
Napa, CA 94558-6293

Mailing address

2100 Napa Vallejo Hwy.
Napa, CA 94558-6293
Phone (707) 253-5654

Other practice location 1

5530 Northrop Rd
Milton, FL 32570-8701
Phone (910) 742-9243

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Assouline, PSYD, LLC Current Accepting new patients

Locations

8130 66th St N
Ste 10
Pinellas Park, FL 33781
Phone (520) 490-2040

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1265796544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 NAPA VALLEJO HWY.",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586293",
            "telephone_number": "707-253-5654",
            "fax_number": "707-253-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NAPA VALLEJO HWY.",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586293",
            "telephone_number": "707-253-5654",
            "fax_number": "707-253-5097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5530 Northrop Rd",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "FL",
            "postal_code": "325708701",
            "country_code": "US",
            "telephone_number": "910-742-9243",
            "fax_number": "888-746-1787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASSOULINE",
        "first_name": "JOSEPH",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-01",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "29720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.