Michael Luther Jorn, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1912 Issued in WI

Practice address

4447 N Oakland Ave
Shorewood, WI 53211

Phone

(414) 431-4322

Fax

(414) 431-4323

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Healthcare Psychology Consultants LLC

  • Clinical Psychologist
  • Shorewood, WI
  • NPI 1063532380

  Clinical, WI

  Medicare reassignment NPD Authorized official
• Your Best Self Psychotherapy, LLP

  • Clinical Social Worker
  • Milwaukee, WI
  • NPI 1366941270
  NPD

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1073568697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N OLD WORLD 3RD ST STE 410",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532031121",
            "telephone_number": "414-431-4322",
            "fax_number": "414-431-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4447 N OAKLAND AVE",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "53211",
            "telephone_number": "414-431-4322",
            "fax_number": "414-431-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORN",
        "first_name": "MICHAEL",
        "middle_name": "LUTHER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "1912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shalaya Yvette Jackson
• Jeffery Jensen, OD
• Benjamin Singer Johnson, D.M.D.
• Jamey L Johnston, C.AC
• Daniel Jonas, D.MIN.
• Susan Jost, LCSW
• Kamyar Saeian D.D.S.
• Katelyn Kelley
• Gregory Ketz
• Erica Danielle Kiela, DC

• All providers in Shorewood, WI
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.

Verify at the official NPI Registry.