Individual provider Active NPI

Jude E Stenovitch, MD

  • Psychiatry Physician
  • Stevens Point, WI
National Provider Identifier
1316020795
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
51763-20 Issued in WI
Practice address
2417 Post Rd
Building a
Stevens Point, WI 54481-6124
Phone
(715) 690-1272
Fax
(877) 212-4294
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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 51763-20 WI Primary

Addresses

Primary practice location

2417 Post Rd
Building a
Stevens Point, WI 54481-6124

Mailing address

400 S Townline Rd
Wautoma, WI 54982-6922
Phone (715) 690-1272

Other identifiers 1

IdentifierTypeStateIssuer
WI2647001OtherWIMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080716000535 WI Practitioner - Psychiatry 2466553144 Reassigns benefits to 1 organization
I20200403000215 TN Practitioner - Psychiatry 2466553144 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51763-20WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SBH-Madison LLC CurrentSince Sep 23, 2025 Accepting new patients
State of Tennessee-Western Mental Health Institute CurrentSince Feb 1, 2020 Accepting new patients

Locations

11100 Highway 64
Bolivar, TN 38008
Phone (731) 228-0772

3169 Deming Way
Middleton, WI 53562
Phone (608) 716-8286

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1316020795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S TOWNLINE RD",
            "city": "WAUTOMA",
            "state": "WI",
            "postal_code": "549826922",
            "telephone_number": "715-690-1272",
            "fax_number": "877-212-4294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 POST RD",
            "address_2": "BUILDING A",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544816124",
            "telephone_number": "715-690-1272",
            "fax_number": "877-212-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENOVITCH",
        "first_name": "JUDE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "51763-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WI2647001",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

Verify at the official NPI Registry.