Individual provider Active NPI

Jan C Van Schaik, MD

  • Psychiatry Physician
  • Whitefish Bay, WI
National Provider Identifier
1649381849
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
23281020 Issued in WI
Practice address
5570 N Lake Dr
Whitefish Bay, WI 53217-5218
Phone
(414) 961-0200
Fax
(414) 961-0400
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 23281020 WI Primary

Addresses

Primary practice location

5570 N Lake Dr
Whitefish Bay, WI 53217-5218

Mailing address

5570 N Lake Dr
Whitefish Bay, WI 53217-5218
Phone (414) 961-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23281020WIMDPsychiatry Physician

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649381849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5570 N LAKE DR",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532175218",
            "telephone_number": "414-961-0200",
            "fax_number": "414-961-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 N LAKE DR",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532175218",
            "telephone_number": "414-961-0200",
            "fax_number": "414-961-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN SCHAIK",
        "first_name": "JAN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "23281020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish Bay, WI

Sources for this page

Verify at the official NPI Registry.