Organization Active NPI

Performance Enhancement Health Services, S.C.

  • Psychologist
  • Franklin, WI
National Provider Identifier
1275662181
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
PERFORMANCE ENHANCEMENT HEALTH SERVICES, S.C.
Practice address
7400 W Rawson Ave
Suite 213
Franklin, WI 53132-8278
Phone
(414) 427-7347
Fax
(414) 427-7188
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jodi L Peternel
Title
Business Administrator
Phone
(414) 427-7347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

7400 W Rawson Ave
Suite 213
Franklin, WI 53132-8278

Mailing address

7400 W Rawson Ave
Suite 213
Franklin, WI 53132-8278
Phone (414) 427-7347

National Provider Directory

National Provider Directory
Tax ID family
Performance Enhancement2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275662181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 W RAWSON AVE",
            "address_2": "SUITE 213",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328278",
            "telephone_number": "414-427-7347",
            "fax_number": "414-427-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 W RAWSON AVE",
            "address_2": "SUITE 213",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328278",
            "telephone_number": "414-427-7347",
            "fax_number": "414-427-7188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE ENHANCEMENT HEALTH SERVICES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERNEL",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "414-427-7347",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.