Whalio Doctors

NPI 1538690995

Codie Jordan Vassar, MD

Practitioner Psychiatry Physician Kenosha, WI

Practice location

Address
4006 Washington Rd, Kenosha, WI 53144-4819
Phone
(262) 656-0044
Fax
(262) 885-6340

Registered specialties (10)

Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 6978320 (WI)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 01088491A (IN)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence T8967 (TX)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 036159195 (IL)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 327809-01 (NY)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence ME165983 (FL)
General Practice Physician
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 6978320 (WI)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 2023032985 (MO)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence A182671 (CA)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence T8967 (WI)

Registry record

NPI
1538690995
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Mar 2017
Record last updated
24 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.