Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Codie Jordan Vassar, MD

Individual provider Psychiatry Physician · NPI 1538690995

Dr. Codie Jordan Vassar, MD is a Psychiatry in Kenosha, Wisconsin. Qualified in 2022, 4 years ago. Practices with Aspirus Stevens Point Hospital and Clinics, Inc, a 137-clinician group, works from 15 locations, accepts Medicare assignment and offers telehealth. Licensed in California, Florida, Illinois and Indiana and 4 more.

Years since qualifying
4
Licensed in
CA, FL, IL, IN, MO, NY
In the registry since
2017
Specialties on file
10
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4006 Washington Rd
Kenosha, WI 53144-4819
Phone: (262) 656-0044
Fax: (262) 885-6340
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (14)

  • 2230 W Chapman Ave Ste 212, Orange, CA 92868-2316 — (714) 712-0711
  • 2230 W Chapman Ave Ste 212, Orange, CA 92868-2316 — (714) 712-0711
  • 3060 Loopdale Ln, Kissimmee, FL 34741-7659 — (407) 775-2121
  • 11180 State Bridge Rd Ste 204, Alpharetta, GA 30022-7483 — (943) 343-7313
  • 5101 Willow Springs Rd, La Grange, IL 60525-2600 — (708) 245-9000
  • 2608 Smyrna Rd, Ozark, MO 65721-7674 — (417) 551-9192
  • 3955 S Farm Road 223, Rogersville, MO 65742-8807 — (417) 812-4440
  • 712 E Peace St, Canton, MS 39046-4731 — (414) 690-0069
  • 5775 Broadway St Ste 14, Lancaster, NY 14086-2456 — (716) 544-8848
  • 14453 Se 29th St Ste D, Choctaw, OK 73020-6543 — (405) 741-2844
  • 4131 N Central Expy # 337, Dallas, TX 75204-2102 — (414) 690-0069
  • 5440 Tuxbury Pond Dr, Fort Worth, TX 76179-1489 — (240) 605-4672
  • 4536 22nd Ave, Kenosha, WI 53140-5917 — (262) 656-0044
  • 122 Wilshire Blvd N, Stevens Point, WI 54481-1360 — (715) 341-7441

Specialties & licences

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

Record details

NPI number1538690995
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2017
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026
Mailing address4006 Washington Rd, Kenosha, WI 53144-4819

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Aspirus Stevens Point Hospital And Clinics, Inc. — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations10 on file with Medicare

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