Janelle W. Allen, PSY.D.
Individual provider Active NPI Clinical Psychologist · Madison, WI
NPI 1497841886 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497841886
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 1931-057 (WI)
- Practice address
- 301 Troy Dr
MJTC
Madison, WI 53704-1521 - Phone
- (608) 301-1222
- Fax
- (608) 301-1436
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1931-057 | WI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Janelle Allen, Psy.D. | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1931-057 | WI | Yes |
Addresses
Primary practice location
301 Troy Dr
MJTC
Madison, WI 53704-1521
Mailing address
4143 S Sunset CT
Madison, WI 53705-5140
Phone (608) 238-3159
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY 10290 | Other | CA | CALIFORNIA LICENSE |
| 39138000 | Medicaid | WI | |
| 50448 | Other | WI | NATIONAL REGISTER |
| 1931-057 | Other | WI | WISCONSIN LICENSE |
Other providers in Madison, WI
- Catherine Cooch Allen
- David B Allen
- David T Allen
- Eva Allen
- Hailey Allen
- Kayla Allen
- Scott E Allen
- Shane Burton Allen
- Bridget E Alley
- Allhours Transportation LC
All providers in Madison, WI · Clinical Psychologist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.