JMD, PSYCHOLOGY, LLC


Address: 14135 N Cedarburg Rd, Mequon, WI 53097-1416
Phone: 2622613023

JMD, PSYCHOLOGY, LLC (NPI# 1013516905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013516905
Entity Type Organization
Organization Name JMD, PSYCHOLOGY, LLC
Practice Address 14135 N Cedarburg Rd
Mequon
WI 53097-1416
Mailing Address 2071 Upper Ridge Rd
Port Washington
WI 53074-9660
Practice Telephone 2622613023
Practice Fax Number 2623775552
Mailing Telephone 2622613023
Enumeration Date 2020-10-21
Last Update Date 2020-10-21
Authorized Official Name JOSHUA DOLAN (LICENSED PSYCHOLOGIST)
Authorized Official Telephone 2622613023
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
Behavioral Health & Social Service Providers

Office Location

Street Address 14135 N CEDARBURG RD
City MEQUON
State WI
Zip Code 53097-1416

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942219589 Heather A Byrne Psychologist 14135 N Cedarburg Rd, # 203, Mequon, WI 53097-1416 2006-08-05
1114539061 Casey Mccarragher LLC Community/Behavioral Health 14135 N Cedarburg Rd, Mequon, WI 53097-1416 2020-08-21
1447884721 Jessica Wolfe Social Worker 14135 N Cedarburg Rd, Mequon, WI 53097-1416 2020-02-26
1386278661 Jessica Wolfe, Lcsw, LLC Social Worker 14135 N Cedarburg Rd, Mequon, WI 53097-1416 2020-02-26
1205490844 Angela C. Stanley, Psy.d. Psychological Services LLC Psychologist 14135 N Cedarburg Rd, Mequon, WI 53097-1416 2019-04-29
1861958993 Andrea P Janis-towey Psychological Services LLC Clinic/Center 14135 N Cedarburg Rd, Mequon, WI 53097-1416 2019-02-13
1467923474 Brian M. Fidlin Psychological Services Clinic/Center 14135 N Cedarburg Rd, Mequon, WI 53097-1416 2018-12-17
1528539657 Melissa L Del Rosario LLC Clinic/Center 14135 N Cedarburg Rd, Mequon, WI 53097-1416 2018-12-16
1649784638 Brewer Counseling and Wellness Psychologist 14135 N Cedarburg Rd, Mequon, WI 53097-1416 2017-11-29
1225541170 Wildstone Wellness, LLC Community/Behavioral Health 14135 N Cedarburg Rd, Mequon, WI 53097-1416 2017-11-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851512982 Wendy S Balister Dietitian, Registered 13111 North Port Washington Rd, Mequon, WV 53097 2007-05-02
1902985922 Lisa Lang Counselor 14135 North Cedarburg Road, Mequon, WI 53097 2006-11-02
1003915570 Joan T Gnadt Internal Medicine 13133 N Port Washington Rd., Suite 111, Mequon, WI 53097 2006-09-21
1255439097 Susan J Riegg Pathology 13111 N Port Washington Road, Mequon, WI 53097 2006-09-20
1891808887 Gregory Eric Custer Dentist 13615 N Cedarburg Road, Mequon, WI 53097 2006-08-16
1114958600 Richard K Karr Orthopaedic Surgery 13133n Port Washington Road, #216, Mequon, WI 53097 2006-07-05
1548204712 Lauretta Lyon Schears Occupational Therapist 13111 N. Portwashington Rd, Mequon, WI 53097 2006-06-16
1235173337 Sarah Marie Neman Physical Therapy Assistant 13111 N Prot Washington Rd., Mequon, WI 53097 2006-06-16
1538103643 Elizabeth Gral Sullivan Speech-Language Pathologist 13111 North Port Washington Road, Mequon, WI 53097 2006-06-16
1952808701 Lisa Lang LLC Counselor 14135 North Cedarburg Road, Mequon, WI 53097 2018-04-09
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134355308 Cedar Creek Counseling, S.c. Psychologist 1035 W Glen Oaks Ln, Suite 110, Mequon, WI 53092-3392 2009-06-02
1578620761 John R Briggs Psychologist 11124 N Cedarburg Rd Ste 150, Mequon, WI 53092-4362 2007-01-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629607619 Eleanor Arlene Tidball Psychologist 13320 W Grange Ave, New Berlin, WI 53151-8131 2020-04-02
1134769441 Graham Gardner Knowlton Psychologist Milwaukee Vamc 5000 W National Ave, Milwaukee, WI 53295-0001 2020-01-14
1477197929 Samuel David Lustgarten Psychologist 1025 W Johnson St Rm 303b, Madison, WI 53706-1706 2019-10-28
1467095703 Ifrah Hameed Psychologist 1849 N Doctor M.l.k. Jr Dr# 101, Milwaukee, WI 53212 2019-10-18
1770133555 Kerrin Sendrowitz O'connor Psychologist 1509 S Outagamie St, Appleton, WI 54914-5580 2019-09-13
1982193546 Samantha Jo Schwartz-oscar Psychologist 2809 School Rd, Greenleaf, WI 54126-9209 2018-05-08
1790202851 Wisconsin Lutheran Child & Family Service Psychologist 2669 N Richards St, Milwaukee, WI 53212-2850 2017-08-29
1902337785 Carla Mae Davey Psychologist 333 E Campus Mall Rm 7, University Health Services, Madison, WI 53715-1740 2017-03-23
1558739300 Hayley Shilling Psychologist 6602 Grand Teton Plz Ste 100, Madison, WI 53719-2905 2015-09-10
1568850840 Belinda Gutierrez Psychologist 2500 Overlook Terrace, 116b, William S. Middleton Memorial Veterans Hospital, Madison, WI 53705-2286 2015-01-08
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Competitor

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City MEQUON
Zip Code 53097

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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