JMD, Psychology, LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

JMD, PSYCHOLOGY, LLC

Practice address

14135 N Cedarburg Rd
Mequon, WI 53097-1416

Phone

(262) 261-3023

Fax

(262) 377-5552

NPI assigned

Oct 21, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joshua Dolan, PHDNPI 1639508823

Title

Licensed Psychologist

Phone

(262) 261-3023

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua James Dolan, PH.D.

  • Clinical Psychologist
  • Milwaukee, WI
  • NPI 1639508823
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1013516905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 UPPER RIDGE RD",
            "city": "PORT WASHINGTON",
            "state": "WI",
            "postal_code": "530749660",
            "telephone_number": "262-261-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14135 N CEDARBURG RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530971416",
            "telephone_number": "262-261-3023",
            "fax_number": "262-377-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMD, PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "DOLAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "262-261-3023",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Scott Jensen
• Michelle Jerard
• Jessica Wolfe, LCSW, LLC
• Arumabaduge Mehan Jinadasa
• JK Medical Corp
• Joan T. Harney Gnadt, MD, SC
• Jodi Brin Psychological Services LLC
• Richard Charles Johannes, D.D.S.
• John Gilane MSW Cadc III
• Brianna Chelsea John, OTR

• Counseling Psychologist in Mequon, WI
• Providers in Mequon, WI by specialty
• Counseling Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.