Active NPI
Joseph S. Wassef, M.D., P.C.
- Psychiatry Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- JOSEPH S. WASSEF, M.D., P.C.
- Practice address
- 2010 Sybil LN Ste 150
Tyler, TX 75703-1830 - Phone
- (903) 504-5459
- Fax
- (903) 504-5460
- NPI assigned
- Jul 5, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Soliman Wassef, M.D.
- Title
- Pyschiatrist
- Phone
- (903) 504-5459
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary | ||
| General Acute Care Hospital | 282N00000X | J2468 | TX |
Addresses
Primary practice location
2010 Sybil LN Ste 150
Tyler, TX 75703-1830
Mailing address
2010 Sybil LN Ste 150
Tyler, TX 75703-1830
Phone (903) 504-5459
Other practice location 1
3400 W Marshall Ave
Suite 426
Longview, TX 75604-5059
Phone (903) 758-4292
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061730 | Other | VALUE OPTIONS | |
| 5295014 | Other | TX | AETNA |
| 00T73H | Other | BLUE CROSS AND BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3400 W Marshall Ave
Ste 426
Longview, TX 75604
Phone (903) 758-4292
1021 E Southeast Loop 323
Ste 370
Tyler, TX 75701
Phone (903) 504-5459
2010 Sybil Ln
Ste 150
Tyler, TX 75703
Phone (903) 504-5459
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Tyler, TX
- NPI 1043233687
-
- Clinical Social Worker
- Winona, TX
- NPI 1801927942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548201600000",
"number": "1578850145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 SYBIL LN STE 150",
"city": "TYLER",
"state": "TX",
"postal_code": "757031830",
"telephone_number": "903-504-5459",
"fax_number": "903-504-5460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 SYBIL LN STE 150",
"city": "TYLER",
"state": "TX",
"postal_code": "757031830",
"telephone_number": "903-504-5459",
"fax_number": "903-504-5460"
}
],
"practiceLocations": [
{
"address_1": "3400 W Marshall Ave",
"address_2": "Suite 426",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756045059",
"country_code": "US",
"telephone_number": "903-758-4292",
"fax_number": "903-758-6055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JOSEPH S. WASSEF, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-05",
"last_updated": "2019-01-23",
"status": "A",
"authorized_official_last_name": "WASSEF",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "SOLIMAN",
"authorized_official_title_or_position": "PYSCHIATRIST",
"authorized_official_telephone_number": "903-504-5459",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "TX",
"license": "J2468",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "061730",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5295014",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIELD",
"identifier": "00T73H",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.