Domenick Tirabassi, PSYD
NPI 1023662459 · Psychologist · Fond Du Lac, WI
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Domenick Tirabassi, PSYD is a Psychologist provider in Fond Du Lac, WI (NPI 1023662459).
Provider details
- NPI number
- 1023662459
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Male
- Sole proprietor
- No
- License
- 5089-57 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 10425 W North Ave Ste 350Milwaukee, WI 53226-2416Phone: (414) 522-7899
Registry dates
- Enumerated
- 2019-07-24
- Last updated
- 2024-08-31
- Certified
- 2024-08-31
Frequently asked questions
- What is Domenick Tirabassi's NPI number?
- Domenick Tirabassi's National Provider Identifier (NPI) is 1023662459, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Domenick Tirabassi's specialty?
- Domenick Tirabassi is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Domenick Tirabassi located?
- Domenick Tirabassi's practice location on file with NPPES is 420 E Division St, Fond Du Lac, WI 54935-4560.
- What is Domenick Tirabassi's phone number?
- The practice phone number listed in the NPPES registry for Domenick Tirabassi is (920) 926-8492.
- Does Domenick Tirabassi accept Medicare?
- Domenick Tirabassi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Domenick Tirabassi's NPI active?
- Yes — Domenick Tirabassi's NPI (1023662459) is active in the NPPES registry as of the last update on 2024-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.