Frank J Elmudesi, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2132057 Issued in WI

Practice address

420 Madison St
Lake Geneva, WI 53147-1709

Phone

(262) 374-0068

Fax

(251) 847-3096

NPI assigned

Dec 19, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI, IL2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 1994

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.

• Frank J Elmudesi PSYD LTD

  • Clinical Neuropsychologist
  • Lake Geneva, WI
  • NPI 1699964817

  IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1306909312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 956",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531470956",
            "telephone_number": "262-374-0068",
            "fax_number": "251-847-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 MADISON ST",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531471709",
            "telephone_number": "262-374-0068",
            "fax_number": "251-847-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMUDESI",
        "first_name": "FRANK",
        "middle_name": "J",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2132057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39128400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• E. Bruns Foot & Ankle, SC
• E.a. McCullough, Inc.
• Erika Eiesland, PT, DPT
• Dina A Eisel, LPN
• Natalie J Ellingson, PAC
• Jonathan Erickson, M.D.
• Tamara Louise Evans, RN
• Excel Family Chiropractic and Wellness Inc
• Eye Clinic SC
• Rebecca R Falkiner, MS, LAT, ATC

• Psychologist in Lake Geneva, WI
• Providers in Lake Geneva, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.