Gerald Ike Metalsky, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2552 Issued in WI

Practice address

103 W College Ave
Suite 1125
Appleton, WI 54911-5770

Phone

(920) 730-1088

NPI assigned

Aug 21, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jerald Ike Metalsky Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1679720650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W COLLEGE AVE",
            "address_2": "SUITE 1125",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115770",
            "telephone_number": "920-730-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W COLLEGE AVE",
            "address_2": "SUITE 1125",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549115770",
            "telephone_number": "920-730-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METALSKY",
        "first_name": "GERALD",
        "middle_name": "IKE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-21",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JERALD",
            "last_name": "METALSKY",
            "middle_name": "IKE",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Isabella Donee Mergen, CF-SLP
• Maggie E Mergen, APNP
• Richard Michael Merkhofer, D.D.S.
• Victoria L Merry, RN
• Marci E Messerschmidt, APNP
• Teri G Metropulos, LAPC
• Melissa Lea Metzger-Romatz, O.D.
• Michelle Meunier, PHARMD, RPH
• Carmen Meuret
• David Donald Meyer, D.C.

• Clinical Psychologist in Appleton, WI
• Providers in Appleton, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.