John Larry Jansky, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

856-057 Issued in WI

Practice address

N2846 State Road 67
Williams Bay, WI 53191-3771

Phone

(262) 245-5608

Fax

(262) 245-5648

NPI assigned

Dec 13, 2007

Last updated

Feb 11, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Horizon Healthcare, Inc

  • Multi-Specialty Clinic/Center
  • Milwaukee, WI
  • NPI 1225052830
  NPD (past)

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1184807141",
    "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": "JANSKY",
        "first_name": "JOHN",
        "middle_name": "LARRY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-13",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "856-057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louisa R Frost-Smith, M.A., CF-SLP
• Morgan Gagas, MS, LPC
• Christine A Hanson, PHD
• Dinah Harner, RD
• Helm Therapy Services, LLC
• Craig Joel Johnson, M.D.
• Mitchell Steven Johnson
• Susan Mary Johnson, RN BSN
• Kingme Inc
• Laura L. Kleber, OT

• Clinical Psychologist in Williams Bay, WI
• Providers in Williams Bay, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.