Organization Active NPI

Jan C Van Schaik MD SC

  • Psychiatry Physician
  • Whitefish Bay, WI
National Provider Identifier
1669538310
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
23281020 Issued in WI
Legal business name
JAN C VAN SCHAIK MD SC
Practice address
5570 N Lake Drive
Whitefish Bay, WI 53217-5218
Phone
(414) 961-0200
Fax
(414) 961-0400
NPI assigned
Dec 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jan C Van Schaik, MDNPI 1649381849
Title
President Jan C Van Schaik MD SC
Phone
(414) 961-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 23281020 WI Primary

Addresses

Primary practice location

5570 N Lake Drive
Whitefish Bay, WI 53217-5218

Mailing address

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669538310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5570 N LAKE DRIVE",
            "address_2": "0",
            "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 DRIVE",
            "address_2": "0",
            "city": "WHITEFISH BAY",
            "state": "WI",
            "postal_code": "532175218",
            "telephone_number": "414-961-0200",
            "fax_number": "414-961-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN C VAN SCHAIK MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN SCHAIK",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT JAN C VAN SCHAIK MD SC",
        "authorized_official_telephone_number": "414-961-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.