Active NPI
Patrick Sassoon, M.D.
- Psychiatry Physician
- Vail, CO
National Provider Identifier
1578726642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DR.0064453
- Practice address
- 395 E Lionshead Cir
Vail, CO 81657-5354 - Phone
- (970) 476-0930
- NPI assigned
- Jul 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9185 | FL | |
| Professional Counselor | 101YP2500X | 4441 | CO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | DR.0064453 | CO | Primary |
Addresses
Primary practice location
395 E Lionshead Cir
Vail, CO 81657-5354
Mailing address
21515 Hawthorne Blvd Ste 200
Torrance, CA 90503-6512
Phone (720) 212-1222
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4441 | CO | MD | Professional Counselor |
| 9185 | FL | MD | Chiropractor |
| DR.0064453 | CO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sassoon Psychiatric Services, P.C. | Psychiatry | Current | Accepting new patients |
| Kamala Thomas Psychological Services Corp | Past | Accepting new patients |
Locations
21515 Hawthorne Blvd
Ste 200
Torrance, CA 90503
Phone (310) 371-7984
Organizations & group practices 2
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.
-
dba Center for Integrative Psychiatry
- Psychiatry Physician
- Fort Pierce, FL
- NPI 1740892934
-
- Adult Mental Health Clinic/Center
- Irvine, CA
- NPI 1144843814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595548800000",
"number": "1578726642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21515 HAWTHORNE BLVD STE 200",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905036512",
"telephone_number": "720-212-1222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 E LIONSHEAD CIR",
"city": "VAIL",
"state": "CO",
"postal_code": "816575354",
"telephone_number": "970-476-0930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SASSOON",
"first_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-08",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "9185",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "4441",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "DR.0064453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vail, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.