Michael P Dobbin, PSYD
Individual provider Active NPI Psychologist · Mason City, IA
NPI 1801129176 · NPPES record last updated Sep 17, 2009
Key facts
- NPI
- 1801129176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110315000045 | NY | Practitioner - Clinical Psychologist | 2860674769 | Practice locations: Albany, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9386 | MA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Psychological Associates PLLC | Psychologist | Current |
Accepting new patients |
| South County Psychiatric & Psychotherapy Center | Past |
Accepting new patients | |
| Wellsource | Psychologist | Past |
Accepting new patients |
| Dennis Marcus MD PC | Psychologist | Past | Accepting new patients |
| Northeast Psychological Associates | Psychologist | Past | Accepting new patients |
| Columbia Memorial Hospital | Past | Accepting new patients |
Locations
435 New Karner Rd
Albany, NY 12205
Phone (518) 456-1622
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Yes |
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
Other providers in Mason City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.