Active NPI
Janelle W. Allen, PSY.D.
- Clinical Psychologist
- Madison, WI
National Provider Identifier
1497841886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1931-057
- Practice address
- 301 Troy Dr
MJTC
Madison, WI 53704-1521 - Phone
- (608) 301-1222
- Fax
- (608) 301-1436
- NPI assigned
- Oct 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1931-057 | WI | Primary |
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 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39138000 | Medicaid | WI | |
| 1931-057 | Other | WI | WISCONSIN LICENSE |
| PSY 10290 | Other | CA | CALIFORNIA LICENSE |
| 50448 | Other | WI | NATIONAL REGISTER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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 |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Madison, WI
- NPI 1477756179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497841886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4143 S SUNSET CT",
"city": "MADISON",
"state": "WI",
"postal_code": "537055140",
"telephone_number": "608-238-3159",
"fax_number": "608-238-3159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 TROY DR",
"address_2": "MJTC",
"city": "MADISON",
"state": "WI",
"postal_code": "537041521",
"telephone_number": "608-301-1222",
"fax_number": "608-301-1436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "JANELLE",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "1931-057",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39138000",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISCONSIN LICENSE",
"identifier": "1931-057",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA LICENSE",
"identifier": "PSY 10290",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL REGISTER",
"identifier": "50448",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.