FOND DU LAC PSYCHIATRY LLC – NPI #1144466608
Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
FOND DU LAC PSYCHIATRY LLC is an AHC clinic located in FOND DU LAC, WI. NPPES has assigned the NPI number 1144466608 to FOND DU LAC PSYCHIATRY LLC on January 05, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty
Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FOND DU LAC PSYCHIATRY LLC below.
NPI Profile for
FOND DU LAC PSYCHIATRY LLC
(more than 17 years ago)
SUITE A
FOND DU LAC, WI 54935-6102 Phone: (920) 923-9054 Fax: (920) 322-9193
OWNER
Phone: (920) 923-9054
Identifiers for FOND DU LAC PSYCHIATRY LLC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | WI | 31769900 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 261QM2500X - Clinic/Center / Medical Specialty (Primary) |
WI | 32668-020 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.