Active NPI
Wess R Vogt, M.D.
- Psychiatry Physician
- Mequon, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 15734-020
- Practice address
- 1035 W Glen Oaks LN
Suite 204
Mequon, WI 53092-3392 - Phone
- (262) 512-9400
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 15734-020 | WI | Primary |
Addresses
Primary practice location
1035 W Glen Oaks LN
Suite 204
Mequon, WI 53092-3392
Mailing address
PO Box 639
Cedarburg, WI 53012-0639
Phone (262) 512-9400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13585800 | Medicaid | WI | |
| 31585800 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Medical College of Wisconsin, 1965
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
111 E Washington St
West Bend, WI 53095-2571
Phone (262) 338-2717
423 E N Point Rd
Mequon, WI 53092-5824
Phone (262) 512-9400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15734-020 | WI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin Psychiatric Services, LTD | Psychiatry | Current | Accepting new patients |
| Affiliated Clinical Services Inc | Current | Accepting new patients | |
| Lutheran Social Services of Wisconsin and Upper Michigan, Inc. | Past | Accepting new patients |
Locations
1035 W Glen Oaks Ln
Ste 204
Mequon, WI 53092
Phone (262) 241-1515
111 E Washington St
West Bend, WI 53095
Phone (262) 338-2717
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- West Bend, WI
- NPI 1851473698
-
- Psychiatry Physician
- Mequon, WI
- NPI 1245346733
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Janesville, WI
- NPI 1386719177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378771200000",
"number": "1023124708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639",
"city": "CEDARBURG",
"state": "WI",
"postal_code": "530120639",
"telephone_number": "262-512-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 W GLEN OAKS LN",
"address_2": "SUITE 204",
"city": "MEQUON",
"state": "WI",
"postal_code": "530923392",
"telephone_number": "262-512-9400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGT",
"first_name": "WESS",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2013-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "15734-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13585800",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31585800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.