Active NPI
Patsy A. Dass, PHD
- Clinical Psychologist
- Charlottesville, VA
National Provider Identifier
1629188677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810002418
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 086325 | Other | VA | SENTARA - INSURANCE PLAN |
| 1031082 | Other | CIGNA - HEALTH PLAN | |
| 204174 | Other | ANTHEM BLUE CROSS AND BLU | |
| 491742 | Other | VALUE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0810002418 | VA | MD | Clinical 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.