Individual provider Active NPI

Michael P Dobbin, PSYD

  • Psychologist
  • Mason City, IA
National Provider Identifier
1801129176
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
235 S Eisenhower Ave
Mason City, IA 50401-1562
Phone
(641) 424-2075
Fax
(641) 424-9555
NPI assigned
Sep 17, 2009
Last updated
Sep 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

235 S Eisenhower Ave
Mason City, IA 50401-1562

Mailing address

235 S Eisenhower Ave
Mason City, IA 50401-1562
Phone (641) 424-2075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110315000045 NY Practitioner - Clinical Psychologist 2860674769 Practice locations: Albany, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

435 New Karner Rd
Albany, NY 12205-3833

435 New Karner Rd
Albany, NY 12205-3867
Phone (518) 456-2060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9386MAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Psychological Associates PLLC Psychologist CurrentSince Jul 1, 2019 Accepting new patients
Dennis Marcus MD PC Psychologist Past Accepting new patients
South County Psychiatric & Psychotherapy Center PastSince Sep 7, 1995 Accepting new patients
Northeast Psychological Associates Psychologist Past Accepting new patients
Columbia Memorial Hospital Past Accepting new patients
Wellsource Psychologist PastSince Jul 1, 2011 Accepting new patients

Locations

435 New Karner Rd
Albany, NY 12205
Phone (518) 456-1622

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1801129176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S EISENHOWER AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504011562",
            "telephone_number": "641-424-2075",
            "fax_number": "641-424-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S EISENHOWER AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504011562",
            "telephone_number": "641-424-2075",
            "fax_number": "641-424-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBBIN",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

Verify at the official NPI Registry.