Individual provider Active NPI

Jay B Winston, DO

  • Psychiatry Physician
  • Milwaukee, WI
National Provider Identifier
1164580015
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
33698021 Issued in WI
Practice address
7330 W Layton Avenue
Milwaukee, WI 53220
Phone
(414) 281-1677
Fax
(414) 281-9884
NPI assigned
Dec 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 33698021 WI Primary

Addresses

Primary practice location

7330 W Layton Avenue
Milwaukee, WI 53220

Mailing address

7330 W Layton Avenue
Milwaukee, WI 53220
Phone (414) 281-1677

Other identifiers 1

IdentifierTypeStateIssuer
30062900MedicaidWI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070606000293 WI Practitioner - Psychiatry 3375641921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Behavioral Clinics SCGroup PAC ID 7517937964, 46 clinicians

Practice addresses (Care Compare)

7330 W Layton Ave
Milwaukee, WI 53220-3849
Phone (414) 281-1677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
33698021WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Behavioral Clinics, SC Psychiatry CurrentSince Feb 1, 2000 Accepting new patients

Locations

1240 W Ranchito Ln
Mequon, WI 53092
Phone (262) 241-3231

7330 W Layton Ave
Milwaukee, WI 53220
Phone (414) 281-1677

10424 W Bluemound Rd
Wauwatosa, WI 53226
Phone (414) 206-1606

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164580015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 W LAYTON AVENUE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53220",
            "telephone_number": "414-281-1677",
            "fax_number": "414-281-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 W LAYTON AVENUE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53220",
            "telephone_number": "414-281-1677",
            "fax_number": "414-281-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSTON",
        "first_name": "JAY",
        "middle_name": "B",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "33698021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30062900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.