Domenick Tirabassi IV, PsyD

  • Fond Du Lac, WI
  • Psychologist
NPI1023662459
Affiliated sites
1
Medical group
1
State license
1
Year NPI issued
2019
Practice address
420 E Division St, Fond Du Lac, WI 54935
Practice phone
Call (920) 926-8585
Professional email
Get professional email
Personal email
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Mobile number
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Social profiles

Primary practice

SSM Health Pharmacy

Fond Du Lac, Wisconsin

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Domenick Tirabassi IV is a psychologist in Fond Du Lac, Wisconsin

Domenick Tirabassi practices at SSM Health Pharmacy in Fond Du Lac, Wisconsin.

Domenick Tirabassi's NPI, 1023662459, was assigned on July 24, 2019. Domenick Tirabassi holds Wisconsin license 5089-57.

NPI and contact details
NPI enumeration date
July 24, 2019
NPI status
Active
Practice phone
(920) 926-8585
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
35
Medical school graduation
2017

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Practice Data

Domenick Tirabassi IV practices at SSM Health Pharmacy in Fond Du Lac, Wisconsin

Domenick Tirabassi's primary practice is SSM Health Pharmacy, at 420 E Division St, Fond Du Lac, WI 54935 in Fond Du Lac County. The practice phone is (920) 926-8585.

  • SSM Health Pharmacy
    420 E Division St, Fond Du Lac, WI 54935 · Fond Du Lac CountyPhone(920) 926-8585

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Domenick Tirabassi IV is affiliated with 2 sites of care and 1 medical group

Domenick Tirabassi's primary practice is SSM Health Pharmacy in Fond Du Lac, Wisconsin. The medical group on file is SSM Health St. Agnes Hospital - Fond du Lac. Dmand AI also links Domenick Tirabassi to 1 more group practice or clinic, named with a free account.

See all 3 affiliations for Domenick Tirabassi

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Domenick Tirabassi IV's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Domenick Tirabassi practices. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
SSM Health PharmacyAvailable with a free account
+1 more affiliated siteAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

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Domenick Tirabassi IV is one of 435 psychologists in Wisconsin

Psychologist is Domenick Tirabassi's primary specialty in the NPI Registry, under taxonomy code 103T00000X. Domenick Tirabassi is licensed in Wisconsin.

Specialties and state licenses

  • Psychologist, WisconsinPrimaryLicense 5089-57 · taxonomy 103T00000X

Psychologists near Domenick Tirabassi

Counts of psychologists with a Dmand AI profile, by place and practice. Each opens the list.

435psychologists in Wisconsin
9psychologists in Fond Du Lac

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Domenick Tirabassi IV's patients have a median age of 37

Across all payers, Dmand AI patient panel data puts Domenick Tirabassi's median patient age at 37, with 57% women.

Domenick Tirabassi's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 37

Patient panel by sex, all payers

  • Women57%
  • Men43%

Source: Dmand AI Patient Panel Data

Sources for Domenick Tirabassi IV's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare patients and the all-payer patient panelDmand AI Patient Panel Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Domenick Tirabassi IV

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Domenick Tirabassi IV's NPI number?

Domenick Tirabassi IV's NPI number is 1023662459. It was assigned on July 24, 2019, and it is active in the NPI Registry.

What does Domenick Tirabassi IV specialize in?

Domenick Tirabassi IV is a psychologist in Fond Du Lac, Wisconsin. The primary specialty in the NPI Registry is Psychologist (taxonomy code 103T00000X).

Where does Domenick Tirabassi IV practice?

Domenick Tirabassi practices at 420 E Division St, Fond Du Lac, WI 54935. Domenick Tirabassi's primary practice is SSM Health Pharmacy in Fond Du Lac, Wisconsin. Dmand AI also links Domenick Tirabassi to 1 group practice or clinic.

What is Domenick Tirabassi IV's office phone number?

The practice phone on file for Domenick Tirabassi is (920) 926-8585.

What is Domenick Tirabassi IV's medical license number?

Domenick Tirabassi holds Wisconsin license 5089-57.

What medical group is Domenick Tirabassi IV part of?

Domenick Tirabassi is linked to SSM Health St. Agnes Hospital - Fond du Lac.

How long has Domenick Tirabassi IV been practicing?

Domenick Tirabassi graduated from medical school in 2017, 9 years ago.

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