Individual provider Active NPI

Patsy A. Dass, PHD

  • Clinical Psychologist
  • Charlottesville, VA
National Provider Identifier
1629188677
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810002418 Issued in VA
Practice address
1441 Sachem PL
Suite 4
Charlottesville, VA 22901-2555
Phone
(434) 963-4566
Fax
(434) 973-1570
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810002418 VA Primary

Addresses

Primary practice location

1441 Sachem PL
Suite 4
Charlottesville, VA 22901-2555

Mailing address

1441 Sachem PL
Suite 4
Charlottesville, VA 22901-2555
Phone (434) 963-4566

Other identifiers 4

IdentifierTypeStateIssuer
086325OtherVASENTARA - INSURANCE PLAN
1031082OtherCIGNA - HEALTH PLAN
204174OtherANTHEM BLUE CROSS AND BLU
491742OtherVALUE OPTIONS - HEALTH PL

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810002418VAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629188677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 SACHEM PL",
            "address_2": "SUITE 4",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012555",
            "telephone_number": "434-963-4566",
            "fax_number": "434-973-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 SACHEM PL",
            "address_2": "SUITE 4",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229012555",
            "telephone_number": "434-963-4566",
            "fax_number": "434-973-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASS",
        "first_name": "PATSY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA - INSURANCE PLAN",
            "identifier": "086325",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA - HEALTH PLAN",
            "identifier": "1031082",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS AND BLU",
            "identifier": "204174",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS - HEALTH PL",
            "identifier": "491742",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.