Active NPI
Daniel Fass, PH,D
- Counseling Psychologist
- Savannah, GA
National Provider Identifier
1578841219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PSY003525
- Practice address
- 1915 Eisenhower Dr
Savannah, GA 31406-5027 - Phone
- (480) 236-5674
- NPI assigned
- Jul 29, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PSY003525 | GA | Primary |
Addresses
Primary practice location
1915 Eisenhower Dr
Savannah, GA 31406-5027
Mailing address
1915 Eisenhower Dr
Savannah, GA 31406-5027
Phone (480) 236-5674
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 |
|---|---|---|---|
| PSY003525 | GA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350950400000",
"number": "1578841219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1915 EISENHOWER DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314065027",
"telephone_number": "480-236-5674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 EISENHOWER DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314065027",
"telephone_number": "480-236-5674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASS",
"first_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "PH,D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-29",
"last_updated": "2012-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "GA",
"license": "PSY003525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.