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Dr. Codie Jordan Vassar, M.D

Psychiatry Physician in Kenosha, WI · enumerated 2017 · practices at Kenosha Community Health Center, Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1538690995

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Registry record

Entity type Individual (Type 1)
Name Dr. Codie Jordan Vassar
Credential M.D
Sex Male
Practice address 4006 Washington Rd, Kenosha, WI, 53144
Phone (262) 656-0044
Fax (262) 885-6340
Enumeration date Mar 27, 2017
Last updated in NPPES Jul 8, 2026

Taxonomy & licenses

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 01088491A (IN) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License T8967 (TX) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 036159195 (IL) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 6978320 (WI) Primary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License ME165983 (FL) Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License 6978320 (WI) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License 2023032985 (MO) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License A182671 (CA) Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians · License T8967 (WI) Secondary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
100005776 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Codie Vassar?
Codie Vassar is registered in NPPES with the primary taxonomy of Psychiatry Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-07-08.