MATTHEW DAVID JANDRISEVITS (NPI# 1740477751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740477751 |
| Entity Type | Individual |
| Full Name | MATTHEW DAVID JANDRISEVITS |
| Credential | PH.D. |
| Practice Address |
9000 W Wisconsin Ave Wauwatosa WI 53226-4874 |
| Mailing Address |
Po Box 1997 Children's Hospital of Wisconsin Ms 750 Milwaukee WI 53201-1997 |
| Practice Telephone | 4142667483 |
| Practice Fax Number | 4142663735 |
| Mailing Telephone | 4142667483 |
| Mailing Fax Number | 4142663735 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2678057 | WI | Behavioral Health & Social Service Providers |
| Street Address |
9000 W WISCONSIN AVE |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53226-4874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881177269 | Emily Pokorny | Nurse Practitioner | 9000 W Wisconsin Ave, Wauwatosa, WI 53226-4874 | 2018-09-11 |
| 1992287924 | Dena Hackmaster | Nurse Practitioner | 9000 W Wisconsin Ave, Wauwatosa, WI 53226-4874 | 2018-09-06 |
| 1619387156 | Amber Fortmann | Nurse Practitioner | 9000 W Wisconsin Ave, Wauwatosa, WI 53226-4874 | 2014-05-06 |
| 1922424589 | Melissa Rose Bennetts | Nurse Practitioner | 9000 W Wisconsin Ave, Wauwatosa, WI 53226-4874 | 2014-03-06 |
| 1174951115 | Laurie B Schaefgen | Nurse Practitioner | 9000 W Wisconsin Ave, Wauwatosa, WI 53226-4874 | 2013-10-30 |
| 1942634043 | Michael John Masse | Pharmacist | 9000 W Wisconsin Ave, Suite 235, Wauwatosa, WI 53226-4874 | 2013-08-26 |
| 1033462445 | Anne Therese Helmer | Nurse Practitioner | 9000 W Wisconsin Ave, Wauwatosa, WI 53226-4874 | 2012-10-23 |
| 1467705400 | Jacob Joseph Olson | Pharmacist | 9000 W Wisconsin Ave, Children's Clinics Bldg, Wauwatosa, WI 53226-4874 | 2012-10-15 |
| 1609131846 | Rachael Murray | Nurse Practitioner | 9000 W Wisconsin Ave, Wauwatosa, WI 53226-4874 | 2012-07-12 |
| 1255617213 | Cortnee Booth | Pharmacist | 9000 W Wisconsin Ave, Suite 235, Wauwatosa, WI 53226-4874 | 2011-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275935033 | Psychological Assessment Services, LLC | Psychologist | 2380 N 124th St Ste 101, Wauwatosa, WI 53226-1071 | 2014-09-23 |
| 1306184171 | Adam Nelson Moriwaki | Psychologist | 10425 W North Ave Ste 239, Wauwatosa, WI 53226-2416 | 2013-01-29 |
| 1508099698 | Michael John Mandli | Psychologist | 10265 West North Ave, Suite 103, Wauwatosa, WI 53226 | 2009-08-24 |
| 1104012244 | Lauri Gebhard | Psychologist | 10855 W Potter Rd, Wauwatosa, WI 53226-3439 | 2007-09-22 |
| 1902001340 | Joan R. Nuttall | Psychologist | 10701 W North Ave, Suite 202, Wauwatosa, WI 53226-2314 | 2007-06-17 |
| 1578688990 | Laura A Lees | Psychologist | 601 N 99th St Ste 307, Wauwatosa, WI 53226-4362 | 2007-03-21 |
| 1689715633 | Carol A. Pinter | Psychologist | 2600 N Mayfair Rd Ste 870, Wauwatosa, WI 53226-1330 | 2007-02-12 |
| 1801952700 | Associated Women Psychotherapists, Sc | Psychologist | 10625 W. North Avenue, #208, Wauwatosa, WI 53226 | 2006-12-28 |
| 1265504765 | Turcott Medical & Psychiatric Assoc. | Psychologist | 2600 N Mayfair Rd Ste 785, Wauwatosa, WI 53226-1327 | 2006-11-14 |
| 1013000561 | Denis Ian Jackson | Psychologist | 11931 W Bluemound Rd, Wauwatosa, WI 53226-3905 | 2006-10-02 |
| Find all providers in WAUWATOSA | ||||
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| 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.