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

Dr. Domenick Tirabassi IV, PSYD

Individual provider Psychologist · NPI 1023662459

Dr. Domenick Tirabassi IV, PSYD is a Psychologist in Fond Du Lac, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2019
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

See every abbreviation used in this directory →

Practice location Address checks out

420 E Division St
Fond Du Lac, WI 54935-4560
Phone: (920) 926-8492
Fax: (920) 926-8903
Show map & directions

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

Additional practice locations (1)

  • 10425 W North Ave Ste 350, Milwaukee, WI 53226-2416 — (414) 522-7899

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 5089-57 (WI)

Record details

NPI number1023662459
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJuly 24, 2019
Last updated in NPPESAugust 31, 2024
Certification dateAugust 31, 2024

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