Individual Healthcare Provider
Codie Jordan Vassar, M.D
Provider's NPPES record last updated: July 24, 2026
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1538690995
- Primary Specialty
- Psychiatry & Neurology — Psychiatry
- Practice Location
- Kenosha, Wisconsin
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 4:54 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Psychiatry & Neurology
Psychiatry
Allopathic & Osteopathic Physicians
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Taxonomy code 2084P0800X General Practice
Allopathic & Osteopathic Physicians
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Taxonomy code 208D00000X
Provider-Reported License Information
- Psychiatry & Neurology (Wisconsin)
- 6978320
- Psychiatry & Neurology (Indiana)
- 01088491A
- Psychiatry & Neurology (Texas)
- T8967
- Psychiatry & Neurology (Illinois)
- 036159195
- Psychiatry & Neurology (New York)
- 327809-01
- Psychiatry & Neurology (Florida)
- ME165983
- General Practice (Wisconsin)
- 6978320
- Psychiatry & Neurology (Missouri)
- 2023032985
- Psychiatry & Neurology (California)
- A182671
- Psychiatry & Neurology (Wisconsin)
- T8967
Practice Locations
Practice Location
4006 Washington Rd
Kenosha, Wisconsin 53144-4819
Phone: (262) 656-0044
Additional Practice Location
122 Wilshire Blvd N
Stevens Point, Wisconsin 54481-1360
Phone: (715) 341-7441
Additional Practice Location
2608 Smyrna Rd
Ozark, Missouri 65721-7674
Phone: (417) 551-9192
Fax: (417) 551-9193
Additional Practice Location
2230 W Chapman Ave Ste 212
Orange, California 92868-2316
Phone: (714) 712-0711
Additional Practice Location
5101 Willow Springs Rd
La Grange, Illinois 60525-2600
Phone: (708) 245-9000
Additional Practice Location
4536 22nd Ave
Kenosha, Wisconsin 53140-5917
Phone: (262) 656-0044
Fax: (262) 885-6340
Additional Practice Location
2230 W Chapman Ave Ste 212
Orange, California 92868-2316
Phone: (714) 712-0711
Additional Practice Location
712 E Peace St
Canton, Mississippi 39046-4731
Phone: (414) 690-0069
Additional Practice Location
3060 Loopdale Ln
Kissimmee, Florida 34741-7659
Phone: (407) 775-2121
Fax: (888) 272-4324
Additional Practice Location
5775 Broadway St Ste 14
Lancaster, New York 14086-2456
Phone: (716) 544-8848
Additional Practice Location
11180 State Bridge Rd Ste 204
Alpharetta, Georgia 30022-7483
Phone: (943) 343-7313
Additional Practice Location
14453 Se 29th St Ste D
Choctaw, Oklahoma 73020-6543
Phone: (405) 741-2844
Additional Practice Location
3955 S Farm Road 223
Rogersville, Missouri 65742-8807
Phone: (417) 812-4440
Fax: (417) 208-5880
Additional Practice Location
4131 N Central Expy # 337
Dallas, Texas 75204-2102
Phone: (414) 690-0069
Additional Practice Location
5440 Tuxbury Pond Dr
Fort Worth, Texas 76179-1489
Phone: (240) 605-4672
Record Information
- Enumeration Date
- March 27, 2017
- Provider's NPPES Record Last Updated
- July 24, 2026
- Certification Date
- July 24, 2026
- NPISignal NPPES Dataset
- August 2026
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