Active NPI
Julie A Beyers, PHD
- Psychologist
- Williams Bay, WI
National Provider Identifier
1043364383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2420
- Practice address
- N2846 State Road 67
Williams Bay, WI 53191-3771 - Phone
- (262) 245-5608
- Fax
- (262) 245-5648
- NPI assigned
- Jan 23, 2007
- Last updated
- Sep 5, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2420 | WI | Primary |
Addresses
Primary practice location
N2846 State Road 67
Williams Bay, WI 53191-3771
Mailing address
N2846 State Road 67
Williams Bay, WI 53191-3771
Phone (262) 245-5608
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39141000 | Medicaid | WI | |
| BEYERJUL-MO | Other | WI | MERCYCARE INSURANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2420 | WI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1043364383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N2846 STATE ROAD 67",
"city": "WILLIAMS BAY",
"state": "WI",
"postal_code": "531913771",
"telephone_number": "262-245-5608",
"fax_number": "262-245-5648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N2846 STATE ROAD 67",
"city": "WILLIAMS BAY",
"state": "WI",
"postal_code": "531913771",
"telephone_number": "262-245-5608",
"fax_number": "262-245-5648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEYERS",
"first_name": "JULIE",
"middle_name": "A",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "2420",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39141000",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCYCARE INSURANCE",
"identifier": "BEYERJUL-MO",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Williams Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.